| Concepcion Alejandra Bulo, MS, RD, CDN, CLC | |
|
3611 21st St, Long Island City, NY 11106-4705 | |
| (718) 482-7772 | |
| (718) 482-9648 |
| Full Name | Concepcion Alejandra Bulo |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3611 21st St, Long Island City, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518489822 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 009023 (New York) | Primary |
| Provider Name | The Institute For Family Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295729408 PECOS PAC ID: 9234048588 Enrollment ID: O20040417000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Concepcion Alejandra Bulo, MS, RD, CDN, CLC 60 Madison Ave Fl 5, New York, NY 10010-1600 Ph: (212) 545-2439 | Concepcion Alejandra Bulo, MS, RD, CDN, CLC 3611 21st St, Long Island City, NY 11106-4705 Ph: (718) 482-7772 |
Herbal Weight Beauty Corp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2830 Jackson Ave Apt 35g, Long Island City, NY 11101 Phone: 848-256-0360 | |
Ms. Alejandra Sanchez, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 2614 Jackson Ave Apt 9h, Long Island City, NY 11101 Phone: 859-705-9631 | |
Megan J Miller, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 475 48th Ave Apt 411, Long Island City, NY 11109 Phone: 414-403-1989 | |
Nazish Pervez, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 36-11 21st Street, Long Island City, NY 11106 Phone: 718-482-7772 Fax: 718-482-9648 | |
Natalia Estefania Botero, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2510 30th Ave, Nutrition Department, Long Island City, NY 11102 Phone: 718-906-6234 Fax: 718-639-9148 | |
Thanh Thanh Nguyen, MS, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4215 Crescent St Apt 8l, Long Island City, NY 11101 Phone: 914-996-8216 | |
Sabrina Ian Lok Song, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 27th St Apt 10e, Long Island City, NY 11101 Phone: 717-891-3888 |