Provider Demographics
NPI:1952673071
Name:SULKOWICZ, KERRY JEFF (MD)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:JEFF
Last Name:SULKOWICZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:151 E 80TH ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0442
Mailing Address - Country:US
Mailing Address - Phone:212-737-1950
Mailing Address - Fax:212-717-1445
Practice Address - Street 1:151 E 80TH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0442
Practice Address - Country:US
Practice Address - Phone:212-737-1950
Practice Address - Fax:212-717-1445
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-05
Last Update Date:2012-02-05
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Provider Licenses
StateLicense IDTaxonomies
NY1679562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry