Provider Demographics
NPI:1184032468
Name:KULIK, ELIZABETH (DPT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:KULIK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:DUNGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2010 WHISPER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHITTENANGO
Mailing Address - State:NY
Mailing Address - Zip Code:13037-9733
Mailing Address - Country:US
Mailing Address - Phone:315-663-5714
Mailing Address - Fax:315-679-5582
Practice Address - Street 1:4651 NIXON PARK DRIVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-9759
Practice Address - Country:US
Practice Address - Phone:315-492-0592
Practice Address - Fax:315-492-1203
Is Sole Proprietor?:No
Enumeration Date:2014-07-30
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist