Provider Demographics
NPI:1538421888
Name:SZULKIN, DANIEL BENJAMIN (MS ED, SDA)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:BENJAMIN
Last Name:SZULKIN
Suffix:
Gender:M
Credentials:MS ED, SDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1422
Mailing Address - Country:US
Mailing Address - Phone:516-887-2957
Mailing Address - Fax:
Practice Address - Street 1:155 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1422
Practice Address - Country:US
Practice Address - Phone:516-887-2957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist