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NPI Code Detail

MEDICARE: JOANNA M KULIS PT

MEDICARE: JOANNA M KULIS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist0313951NY

General Provider Information

NPI Number : 1811208978
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA M KULIS PT
Provider Business Mailing Address
First Line : 10825 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-2906
Country : US
Telephone Number : 718-658-9700
Fax Number : 718-658-9703
Provider Business Practice Location Address
First Line : 10825 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-2906
Country : US
Telephone Number : 718-658-9700
Fax Number : 718-658-9703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 01/27/2016

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Directions to “ JOANNA M KULIS PT” Practice Location

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