Julie L.M. Bullock, PHLEBOTOMIST

Individual provider Active NPI Phlebotomy Technician · Russell, NY

NPI 1396014304 · NPPES record last updated Dec 20, 2011

Key facts

NPI
1396014304
Entity type
Individual (NPI type 1)
Primary specialty
Phlebotomy Technician 246RP1900X
Practice address
2980 County Route 24
Russell, NY 13684-3134
Phone
(315) 562-8483
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Yes

Addresses

Primary practice location

2980 County Route 24
Russell, NY 13684-3134

Mailing address

2980 County Route 24
Russell, NY 13684-3134
Phone (315) 562-8483

Other providers in Russell, NY

All providers in Russell, NY · Phlebotomy Technician in New York

Sources for this page

Verify at the official NPI Registry.