Individual
CARLOS TULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9335
(212) 305-8636
Mailing address
622 W 168TH ST # 28, NEW YORK, NY 10032-3720
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
161366-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
161366
NY
Other
Enumeration date
07/02/2006
Last updated
09/11/2025
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