1922330836 NPI number — MRS. MARYJEAN KATHERINE KULLE PH.D.

Table of content: MRS. MARYJEAN KATHERINE KULLE PH.D. (NPI 1922330836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922330836 NPI number — MRS. MARYJEAN KATHERINE KULLE PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KULLE
Provider First Name:
MARYJEAN
Provider Middle Name:
KATHERINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922330836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7608 OSWEGO RD
Provider Second Line Business Mailing Address:
SUITE 19
Provider Business Mailing Address City Name:
LIVERPOOL
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13090-2900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-652-6584
Provider Business Mailing Address Fax Number:
315-622-5622

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7608 OSWEGO RD
Provider Second Line Business Practice Location Address:
SUITE 19
Provider Business Practice Location Address City Name:
LIVERPOOL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13090-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-652-6584
Provider Business Practice Location Address Fax Number:
315-622-5622
Provider Enumeration Date:
02/02/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  051724 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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