Individual
ANNA KULISHEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10021-1850
(212) 434-2650
(212) 434-4512
Mailing address
100 E 77TH ST, NEW YORK, NY 10021-1850
(212) 434-2650
(212) 434-4512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008937
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02720616
—
NY
Enumeration date
05/03/2006
Last updated
03/25/2009
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