Individual
DR. KEVIN R. KULIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
248 E 73RD ST, NEW YORK, NY 10021-4303
(646) 239-1397
Mailing address
248 E 73RD ST, NEW YORK, NY 10021-4303
(646) 239-1397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015744
NY
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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