Individual
MS. KSENIYA BULAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
119 MAPLE AVE, RED BANK, NJ 07701-1764
(647) 704-3054
Mailing address
320 W 38TH ST APT 2506, NEW YORK, NY 10018-5241
(647) 704-3054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129960
NY
104100000X
Social Worker
44SL07251200
NJ
104100000X
Social Worker
SW142704
PA
Other
Enumeration date
03/13/2025
Last updated
02/02/2026
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