Provider Demographics
NPI:1063886083
Name:SHULIAK, KARYNA (DDS)
Entity type:Individual
Prefix:DR
First Name:KARYNA
Middle Name:
Last Name:SHULIAK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 RED HOOK QTRS
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1348
Mailing Address - Country:US
Mailing Address - Phone:646-243-8517
Mailing Address - Fax:
Practice Address - Street 1:6100 RED HOOK QTRS
Practice Address - Street 2:SUITE B-3
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1348
Practice Address - Country:US
Practice Address - Phone:646-243-8517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI22301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice