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Individual

DR. LEWIS CLARK ZULICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-2636
(315) 462-2638
Mailing address
4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-2636
(315) 462-2638

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
164378
NY
208600000X
Surgery Physician
Primary
164378
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01300582
NY
Enumeration date
03/25/2006
Last updated
04/13/2021
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