Kent Bullis is a Adolescent Medicine in Ithaca, New York. Kent Bullis practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kent Bullis is 1710079736. The last update date is 2013-09-26.
Kent Bullis's current location address is 110 Ho Plz, Ithaca, New York. You can contact this provider via phone number 6072555155. The mailing address for Kent Bullis is 110 Ho Plz, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent Bullis |
|---|---|
| Address | 110 Ho Plz, Ithaca, New York |
| Phone Number | 6072555155 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710079736 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2013-09-26 |
Provider Mailing Address Detail
| Address | 110 Ho Plz |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148533102 |
| Phone Number | 6072555155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 1034097 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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Post Comment/ Review Below
What is the Kent Bullis's unique identification number?
The Kent Bullis has been assigned the NPI (National Provider Identifier) Number 1710079736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kent Bullis is located?
The Kent Bullis is situated at the following address: 110 Ho Plz, Ithaca, NY, 148533102.
What is Kent Bullis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kent Bullis's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0000X.
On what date was the 1710079736 assigned to Kent Bullis?
The Kent Bullis was issued its 1710079736 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kent Bullis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kent Bullis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-26.
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