Organization
PAVEL KULIK PHYSICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL KULIK M.D. (PRESIDENT)
(718) 704-9909
Entity
Organization
Contact information
Practice address
3066 BRIGHTON 6TH ST, BROOKLYN, NY 11235-6461
(718) 704-9909
(347) 702-5419
Mailing address
P.O. BOX 351145, P.O. BOX 351145, BROOKLYN, NY 11235-1145
(718) 704-9909
(347) 702-5419
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
224945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02279683
—
NY
Enumeration date
01/26/2007
Last updated
08/03/2010
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