Organization
OKSA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL KULIK M.D. (MEDICAL DIRECTOR)
(718) 396-1000
Entity
Organization
Contact information
Practice address
9749 63RD DR, REGO PARK, NY 11374-2229
(718) 396-1000
Mailing address
9749 63RD DR, REGO PARK, NY 11374-2229
(718) 396-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
228241
NY
207Y00000X
Otolaryngology Physician
211012
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
224945
NY
208800000X
Urology Physician
236385
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N006031
NY
Other
Enumeration date
07/08/2006
Last updated
10/27/2009
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