Provider Demographics
NPI:1801929112
Name:KULINSKI, RICHARD M (RPH)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:M
Last Name:KULINSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 HULL AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-1641
Mailing Address - Country:US
Mailing Address - Phone:717-507-1389
Mailing Address - Fax:
Practice Address - Street 1:583 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-2453
Practice Address - Country:US
Practice Address - Phone:718-326-4752
Practice Address - Fax:718-326-4785
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist