Most Relevant Information
Provider Data
| NPI Number: | 1003416058 |
| Provider Name: | ISAAC BULKLEY OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 023001 |
Most Important Dates
| Enumeration Date: | 10/29/2020 |
| Last Updated: | 10/29/2020 |
Provider Practice Location
4433 VESTAL PKWY E
VESTAL
NY
138503556
Practice Location Phone/Fax
| Phone: | 6077622176 |
| Fax: | 6077622044 |
Provider Mailing Location
33 LEWIS RD
2ND FL
BINGHAMTON
NY
13905
Provider Mailing Phone/Fax
| Phone: | 6077700025 |
| Fax: | 6077293982 |