Individual
MRS. KATARZYNA IRENA DUDYCZ-SULICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4417 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 797-1251
(607) 729-4393
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 797-1251
(607) 729-4393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
273928
NY
208000000X
Pediatrics Physician
42542
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03873067
—
NY
Enumeration date
04/21/2009
Last updated
10/02/2015
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