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Organization
RYAN M KULL LICENSED CLINICAL SOCIAL WORK LLC
Active
Organization
RYAN M KULL LICENSED CLINICAL SOCIAL WORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN M KULL (OWNER)
(914) 200-4675
Entity
Organization
Contact information
Practice address
330 W 58TH ST STE 401, NEW YORK, NY 10019-1821
(914) 200-4675
Mailing address
83 S OCEAN AVE UNIT 500, PATCHOGUE, NY 11772-3702
(914) 200-4675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
PR061627-1
NY
Other
Enumeration date
10/31/2014
Last updated
06/12/2026
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