NPI 1063789857
Randi Battaglia Boulis
Practice location
- Address
- 40 Allen St, Brockport, NY 14420-2228
- Phone
- (585) 637-1810
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1063789857
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Nov 2011
- Record last updated
- 21 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.