Matthew Mi Bullis, LMSW
NPI #1932759230 in East Islip, New York
Provider Information
- NPI Number
- 1932759230
- Entity Type
- Individual
- Name
- Matthew Mi Bullis, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Sep 18, 2019
- Last Updated
- Sep 18, 2019
Practice Location
- Address
- 18 WYANDOTTE LN
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-2605
- Phone
- (631) 918-3186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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