Individual
DR. MICHAEL JOSEPH KULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
240 MASTIC BEACH RD, MASTIC BEACH, NY 11951-1028
(631) 874-1120
Mailing address
43 LONG ST, HUNTINGTON STATION, NY 11746-4439
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
044950
NY
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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