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Individual

DINA V KULIESIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2211 GENESEE STREET, SUITE 200, UTICA, NY 13501
(315) 733-7598
(315) 733-7694
Mailing address
2211 GENESEE STREET, SUITE 200, UTICA, NY 13501
(315) 733-7598
(315) 733-7694

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
334927
NY
363LF0000X
Family Nurse Practitioner
Primary
F334927-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02820235
NY
Enumeration date
09/29/2006
Last updated
04/16/2024
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