Organization
SAMUEL D. KULICK, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL KULICK MD (OWNER)
(570) 752-4308
Entity
Organization
Contact information
Practice address
880 S LAKE BLVD, MAHOPAC, NY 10541-4771
(570) 752-4308
Mailing address
880 S LAKE BLVD, MAHOPAC, NY 10541-4771
(570) 752-4308
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004607L
PA
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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