Healthcare Provider Details

I. General information

NPI: 1952442485
Provider Name (Legal Business Name): JENNIFER LYNN KULP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 E 39TH ST STE 701
NEW YORK NY
10016-0125
US

IV. Provider business mailing address

10 BARRY RD
SCARSDALE NY
10583-5914
US

V. Phone/Fax

Practice location:
  • Phone: 917-336-8236
  • Fax: 518-901-2206
Mailing address:
  • Phone: 917-336-8236
  • Fax: 518-901-2206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number260840
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number046208
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: