Provider Demographics
NPI:1417205196
Name:KULSAR, STEVEN THOMAS (AUD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:THOMAS
Last Name:KULSAR
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 POMEROY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-2708
Mailing Address - Country:US
Mailing Address - Phone:607-662-4185
Mailing Address - Fax:
Practice Address - Street 1:64 POMEROY ST
Practice Address - Street 2:SUITE A
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-2708
Practice Address - Country:US
Practice Address - Phone:607-662-4185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000033600231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist