Individual provider · Type 1 NPI

Denise Bullock, MSED

Specialist · Chestnut Ridge, NY

NPI number 1861753121 Active

Practice location

17 Lillian Dr
Chestnut Ridge, NY 10977-6504

Call (917) 498-1640 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X17400000X (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861753121

Denise Bullock, MSED's National Provider Identifier is 1861753121, issued on Jun 4, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chestnut Ridge, NY. The record was last updated on Jun 4, 2012.