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General NPI Number Information
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NPI Number | 1033319850
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Entity Type | Individual
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Provider Name | ILANA BROOKE KULMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 140 W 86TH ST SUITE A5
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City | NEW YORK
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State | NY
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Zip | 10024-4034
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Country | US
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Telephone | 646-308-0506
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Fax | 646-514-8999
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Provider Business Mailing Address
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Address Line | 140 W 86TH ST SUITE A5
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City | NEW YORK
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State | NY
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Zip | 10024-4034
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Country | US
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Telephone | 646-308-0506
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Fax | 646-514-8999
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 244793
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 244793
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License Number State | NY
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