National Provider Identifier

Randi Battaglia Boulis

Randi Battaglia Boulis is listed in the NPPES registry with a primary specialty of Local Education Agency (LEA) in Brockport, NY and a listed phone number of (585) 637-1810.

NPI 1063789857Brockport, NYLocal Education Agency (LEA)

Profile Overview

NPI
1063789857
Provider Type
Individual
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
November 21, 2011
Last Updated
November 21, 2011

Practice Location

  • 40 Allen St
  • Brockport, NY 14420-2228

Phone: (585) 637-1810

Specialties

  • Local Education Agency (LEA) (251300000X)
Full Record
NPI
1063789857
Entity Type
Individual
Last Name
Boulis
First Name
Randi
Middle Name
Battaglia
Name Prefix
Mrs.
Mailing Street Address
40 Allen St
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2228
Mailing Country
US
Mailing Phone
(585) 637-1810
Practice Street Address
40 Allen St
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2228
Practice Country
US
Practice Phone
(585) 637-1810
Enumeration Date
November 21, 2011
Last Updated
November 21, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Local Education Agency (LEA) (251300000X)