Individual
ANDREW R KULEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-1928
(631) 572-0284
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 572-0284
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003638128
—
MI
Enumeration date
05/26/2021
Last updated
08/14/2023
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