Mimi Anne Kulinski
Individual provider Active NPI Early Intervention Provider Agency · West Harrison, NY
NPI 1497018097 · NPPES record last updated Jun 19, 2012
Key facts
- NPI
- 1497018097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 521379 (NY)
- Practice address
- 194 Park Ave
West Harrison, NY 10604-2026 - Phone
- (914) 374-8712
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521379 | NY | MD | Early Intervention Provider Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Early Intervention Provider Agency | 252Y00000X | 521379 | NY | Yes |
Addresses
Primary practice location
194 Park Ave
West Harrison, NY 10604-2026
Mailing address
194 Park Ave
West Harrison, NY 10604-2026
Phone (914) 374-8712
Other providers in West Harrison, NY
- Kayla Kilkenny
- Alex Hyundong Kim
- Heeyeon Kim
- Sergej Naumovich Konoplev
- Tarek Korban
- Lara Back
- Jessica Larroy
- Chung-Han Lee
- Alyson Leffel
- Alexa Ryann Leib
All providers in West Harrison, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.