Kulisek, Nicole

Kulisek, Nicole is an individual health care provider with primary practice located at 500 Arcola Rd , Collegeville PA 19426-3982. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Kulisek, Nicole can be contacted via phone (646) 942-6148.

Contact Information

Primary practice address
500 Arcola Rd Collegeville PA 19426-3982
Phone: (646) 942-6148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 249629 New York
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 248629 New York

Profile Details

NPI number 1043374986
LBN Legal business name Kulisek, Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jan 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043374986 NPPES
New York MEDICAID 03437845

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