Provider Demographics
NPI:1750365441
Name:SULICA, RADU LUCIAN (MD)
Entity type:Individual
Prefix:
First Name:RADU
Middle Name:LUCIAN
Last Name:SULICA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E 59TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1838
Mailing Address - Country:US
Mailing Address - Phone:646-962-4734
Mailing Address - Fax:646-962-0384
Practice Address - Street 1:240 E 59TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1838
Practice Address - Country:US
Practice Address - Phone:646-962-7464
Practice Address - Fax:646-962-0384
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214162207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology