DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVITA BULLEN

Active Sole Proprietor

EVITA BULLEN is a Behavioral Health, Residential healthcare provider located in JAMAICA, New York. NPI 1316835382 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · JAMAICA, NY

Registration Details

NPI Number
1316835382
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2025 (1.1714436178638 yrs)
Last Updated
Jun 26, 2025
Sole Proprietor
Yes

Practice Information

Address
10938 177TH ST
JAMAICA, NY, 114332616
Browse NY providers · Browse ZIP 11433
Phone
6462836511
Primary Specialty
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.