Provider Demographics
NPI:1528764461
Name:KULIEV, HUSEN (DDS)
Entity type:Individual
Prefix:
First Name:HUSEN
Middle Name:
Last Name:KULIEV
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:KHUSEN
Other - Middle Name:
Other - Last Name:KULIEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:87-30 DUNTON STREET HOLLIS NY 11423
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423
Mailing Address - Country:US
Mailing Address - Phone:347-651-5403
Mailing Address - Fax:
Practice Address - Street 1:87-30 DUNTON STREET HOLLIS NY 11423
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1142
Practice Address - Country:US
Practice Address - Phone:347-651-5403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program