Samuel D. Kulick, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004607L Issued in PA

Legal business name

SAMUEL D. KULICK, DPM

Practice address

880 S Lake Blvd
Mahopac, NY 10541-4771

Phone

(570) 752-4308

NPI assigned

Sep 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Kulick, MD

Title

Owner

Phone

(570) 752-4308

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669564951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414771",
            "telephone_number": "570-752-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414771",
            "telephone_number": "570-752-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL D. KULICK, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-752-4308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004607L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Keryn Ruiz
• Veronica Ruiz
• Jeffrey Stephen Rusinko, PT
• Danielle Annette Russo, RN
• Karin Sadarangani, MS, CCC-SLP
• Sheila A Samuels, RN
• Diana Santiago
• Sandra Mary Santini
• Anthony Santostefano, D.D.S.
• Michelle Sarkissian

• Podiatrist in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.