DR. STEPHEN A KULICK (NPI# 1265413975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265413975 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN A KULICK |
| Credential | MD |
| Practice Address |
1099 Targee St Staten Island NY 10304-4310 |
| Mailing Address |
2535 Arthur Kill Rd Staten Island NY 10309-1207 |
| Practice Telephone | 7184483210 |
| Practice Fax Number | 7188153379 |
| Mailing Telephone | 7184483210 |
| Mailing Fax Number | 7189842642 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0910701 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1099 TARGEE ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275524043 | Elaina M Caporale | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2005-11-02 |
| 1710518097 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1099 Targee St, Staten Island, NY 10304-4310 | 2020-01-27 |
| 1720356850 | Irina Richardson | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2011-12-04 |
| 1922338334 | Steven Hsiao-liang Lin | Psychiatry & Neurology | 1099 Targee St, Staten Island, NY 10304-4310 | 2010-01-06 |
| 1528227857 | Lindsay Martino | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2008-06-02 |
| 1629279633 | Ami Raval | Neurological Surgery | 1099 Targee St, Staten Island, NY 10304 | 2007-05-29 |
| 1780805499 | Lisa Signorile | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2007-05-01 |
| 1013036409 | Michael S Hood | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2007-03-28 |
| 1851475776 | Dmitriy Reznik | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2006-10-25 |
| 1740264332 | Healthcare Associates In Medicine PC | Anesthesiology | 1099 Targee St, Healthcare Associates In Medicine PC, Staten Island, NY 10304-4310 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891047528 | C.b.neurology and Sleep Medicine Consulting P.C. | Psychiatry & Neurology | 268 Neal Dow Ave, Staten Island, NY 10314-3128 | 2012-10-04 |
| 1518040716 | Suying L Song | Psychiatry & Neurology | 212 Garretson Ave, Staten Island, NY 10305-1234 | 2006-10-23 |
| 1487613493 | Kamalini Asirwatham | Psychiatry & Neurology | 34 Academy Pl, Staten Island, NY 10301-1854 | 2006-03-20 |
| 1295700177 | Allan B Perel | Psychiatry & Neurology | 27 New Dorp Ln, Staten Island, NY 10306-2322 | 2006-02-22 |
| 1396364436 | Natarajan Elangovan Physician, P.C. | Psychiatry & Neurology | 1756 Richmond Ave, Staten Island, NY 10314-3902 | 2020-04-09 |
| 1255844585 | Igor Stiler, M.d., P.C. | Psychiatry & Neurology | 1931 Richmond Ave, Staten Island, NY 10314-3889 | 2017-11-08 |
| 1164793089 | William B. Head Jr. M.d. P.C. | Psychiatry & Neurology | 1100 Clove Rd, Staten Island, NY 10301-3648 | 2012-01-24 |
| 1275818668 | Sima Raguthu Md Pllc | Psychiatry & Neurology | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2011-10-17 |
| 1790095289 | Dgs Neurological Pllc | Psychiatry & Neurology | 4982 Hylan Blvd, Staten Island, NY 10312-6399 | 2010-10-18 |
| 1922338334 | Steven Hsiao-liang Lin | Psychiatry & Neurology | 1099 Targee St, Staten Island, NY 10304-4310 | 2010-01-06 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.