Provider Demographics
NPI:1902614027
Name:PULCHERI MEDICAL PRACTICE PLLC
Entity type:Organization
Organization Name:PULCHERI MEDICAL PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PULCHERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-481-4994
Mailing Address - Street 1:20 E 46TH ST RM 200
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-9287
Mailing Address - Country:US
Mailing Address - Phone:212-481-4994
Mailing Address - Fax:
Practice Address - Street 1:20 E 46TH ST RM 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-9287
Practice Address - Country:US
Practice Address - Phone:212-481-4994
Practice Address - Fax:212-481-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care