Provider Demographics
NPI:1356655328
Name:GULATI, ATUL
Entity Type:Individual
Prefix:DR
First Name:ATUL
Middle Name:
Last Name:GULATI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ATUL
Other - Middle Name:M
Other - Last Name:GULATI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:230 W 99TH ST APT 5E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5010
Mailing Address - Country:US
Mailing Address - Phone:646-261-1775
Mailing Address - Fax:
Practice Address - Street 1:230 W 99TH ST APT 5E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5010
Practice Address - Country:US
Practice Address - Phone:646-261-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055043-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice