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Richard P Kulak, DO

Family Medicine in Liverpool, NY. Individual provider (NPI-1).

NPI number1467412643
StatusActive
Last updated in NPPESDec 11, 2009

Details

NPI
1467412643
Entity type
Individual (NPI-1)
Name
Richard P Kulak
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 23, 2006
Last updated
Dec 11, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine210974NYYes

Practice location

5100 W Taft Rd
Suite G
Liverpool, NY 13088-3807

Phone 315-452-2829 · Fax 315-452-2870

Mailing address

5100 W Taft Rd
Suite 1g
Liverpool, NY 13088-3807

Phone 315-452-2828 · Fax 315-452-2870

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Liverpool, NY

All 43 Family Medicine Physician providers in Liverpool · All 1,360 providers in Liverpool

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