Individual
ALEXI BULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1793
(585) 396-6000
Mailing address
108 GARFORD RD, ROCHESTER, NY 14622-1801
(512) 734-0931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
306521
NY
208000000X
Pediatrics Physician
306521
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2016
Last updated
07/03/2023
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