CONCEPCION ALEJANDRA BULO (NPI# 1518489822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518489822 |
| Entity Type | Individual |
| Full Name | CONCEPCION ALEJANDRA BULO |
| Credential | MS, RD, CDN, CLC |
| Practice Address |
3611 21st St Long Island City NY 11106-4705 |
| Mailing Address |
60 Madison Ave Fl 5 New York NY 10010-1600 |
| Practice Telephone | 7184827772 |
| Practice Fax Number | 7184829648 |
| Mailing Telephone | 2125452439 |
| Mailing Fax Number | 6463120481 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 009023 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00695941 | 05 |
| Street Address |
3611 21ST ST |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11106-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942248380 | Sabrina Nilufar | Obstetrics & Gynecology | 3611 21st St, Long Island City, NY 11106-4705 | 2006-06-04 |
| 1528671930 | Aneela Naz | Nurse Practitioner | 3611 21st St, Long Island City, NY 11106-4705 | 2020-08-25 |
| 1184289746 | Madeleine Amdur | Social Worker | 3611 21st St, Long Island City, NY 11106-4705 | 2019-05-08 |
| 1720581697 | Community Healthcare Network, Inc. | Pharmacy | 3611 21st St, Long Island City, NY 11106 | 2018-03-16 |
| 1730422445 | Eduardo Morales | Family Medicine | 3611 21st St, Long Island City, NY 11106-4705 | 2013-04-01 |
| 1275873804 | Safiyyah Maryam Okoye | Nurse Practitioner | 3611 21st St, Long Island City, NY 11106-4705 | 2013-02-19 |
| 1124319991 | Nancy Jade Lee | Pediatrics | 3611 21st St, Long Island City, NY 11106-4705 | 2011-04-27 |
| 1942436597 | Pamela E Apolaya | Internal Medicine | 3611 21st St, Long Island City, NY 11106-4705 | 2009-06-09 |
| 1033353685 | Erica K Hahn | Nurse Practitioner | 3611 21st St, Long Island City, NY 11106-4705 | 2009-04-27 |
| 1396985438 | Amanda De Jesus | Social Worker | 3611 21st St, Long Island City, NY 11106-4705 | 2009-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492303 | Faizal Hussein | Physical Therapist | 3244 31st Street, Queens, NY 11106 | 2020-09-18 |
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1144870056 | Theresa Pizinger | Nurse Practitioner | 3157 31st St, Phf, Long Island City, NY 11106 | 2019-09-13 |
| 1881164564 | Adam Christopher Maslowski | Social Worker | 34-11 Vernon Blvd., Long Island City, NY 11106 | 2018-11-26 |
| 1730675273 | Astoria Dental Broadway | Dentist | 31-72 31st St, Suite #1, Astoria, NY 11106 | 2018-07-09 |
| 1225552037 | Joslynn Ramos | Social Worker | 14-15 Broadway, Astoria, NY 11106 | 2017-08-02 |
| 1790208791 | Sheilla Jean Baptiste Hadid | Prevention Professional | 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 | 2017-07-21 |
| 1396267225 | Serena Cisneros | Counselor | 34-25 Vernon Blvd, Long Island City, NY 11106 | 2017-07-12 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1093241143 | Kimlong Chan | Student in an Organized Health Care Education/Training Program | 2320 31st Avenue, Astoria, NY 11106 | 2017-05-11 |
| Find all providers in zip 11106 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442623 | Megan J Miller | Dietitian, Registered | 475 48th Ave Apt 411, Long Island City, NY 11109-5505 | 2020-06-20 |
| 1730688276 | Sharon Bernadette Higgins | Dietitian, Registered | 4272 Hunter St, Long Island City, NY 11101-4118 | 2018-02-11 |
| 1578854782 | Robin L Foroutan | Dietitian, Registered | 2-01 50th Ave, 9j, Long Island City, NY 11101 | 2011-04-21 |
| 1821277476 | Jean Dicker | Dietitian, Registered | 3347 14th St, Long Island City, NY 11106-4677 | 2007-10-31 |
| 1912360371 | Lorene Harry | Dietitian, Registered | 4209 28th St, Long Island City, NY 11101-4130 | 2016-04-03 |
| 1144404088 | Natalia Estefania Botero | Dietitian, Registered | 2510 30th Ave, Nutrition Department, Long Island City, NY 11102-9900 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
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| City | LONG ISLAND CITY |
| Zip Code | 11106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.