Provider Demographics
NPI:1598955916
Name:KAZULAK, ARTHUR R (HIS)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:R
Last Name:KAZULAK
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 W 1ST ST S
Mailing Address - Street 2:AFFORDABLE HEARING
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-4941
Mailing Address - Country:US
Mailing Address - Phone:315-598-3494
Mailing Address - Fax:315-598-9681
Practice Address - Street 1:956 W 1ST ST S
Practice Address - Street 2:AFFORDABLE HEARING
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-4941
Practice Address - Country:US
Practice Address - Phone:315-598-3494
Practice Address - Fax:315-598-9681
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY586380332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment