Basic Information
Provider Information
NPI: 1235394644
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CULAS
FirstName: RENU
MiddleName: MARIA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 305 W 50TH ST APT 21E
Address2:  
City: NEW YORK
State: NY
PostalCode: 100198411
CountryCode: US
TelephoneNumber: 9177532463
FaxNumber:  
Practice Location
Address1: 5141 BROADWAY
Address2: NEW YORK PREBYTERIAN ALLEN PAVILLION,
City: NEW YORK
State: NY
PostalCode: 10034
CountryCode: US
TelephoneNumber: 2129324165
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/24/2008
LastUpdateDate: 07/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X270978NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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