Individual
DR. ROGER W KULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAN
Contact information
Practice address
865 NORTHERN BLVD, SUITE 302, GREAT NECK, NY 11021-5310
(516) 570-4425
(516) 570-4444
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
110311
MD
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
110311
NY
2084N0400X
Neurology Physician
Primary
110311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00197026
—
NY
Enumeration date
01/21/2006
Last updated
07/27/2012
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