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Amanda Bullard

Specialist/Technologist in New York, NY. Individual provider (NPI-1).

NPI number1699080234
StatusActive
Last updated in NPPESAug 6, 2010

Details

NPI
1699080234
Entity type
Individual (NPI-1)
Name
Amanda Bullard
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 6, 2010
Last updated
Aug 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235500000X Specialist/Technologist0198451NYYes

Practice location

264 Canal St Ste 6e
New York, NY 10013-3596

Phone 212-925-8069 · Fax 347-602-9058

Mailing address

264 Canal St Ste 6e
New York, NY 10013-3596

Phone 212-925-8069 · Fax 347-602-9058

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