Ivy Bullock
Ivy Bullock is a Social Worker in Wyandanch, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
240 Long Island AveWyandanch, NY 11798-3123
Phone: (631) 782-6200
Fax: (631) 491-5354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 083420 (NY) |
|---|
Record details
| NPI number | 1023496718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 13, 2015 |
| Last updated in NPPES | June 15, 2022 |
| Certification date | June 15, 2022 |
| Mailing address | 1 Farmingdale Road, West Babylon, NY 11704-0704 |
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