Individual
ROSE BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
760 BROADWAY, PEDIATRICS, BROOKLYN, NY 11206-5317
(718) 963-7956
(718) 963-7957
Mailing address
445 NEW JERSEY AVE, BROOKLYN, NY 11207-4110
(718) 782-5643
(718) 782-3148
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380858
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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