Provider Demographics
NPI:1548837537
Name:SULIMA, KELVIN (DPT)
Entity type:Individual
Prefix:
First Name:KELVIN
Middle Name:
Last Name:SULIMA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5509
Mailing Address - Country:US
Mailing Address - Phone:646-518-5562
Mailing Address - Fax:480-565-1898
Practice Address - Street 1:31 E 32ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5509
Practice Address - Country:US
Practice Address - Phone:646-518-5562
Practice Address - Fax:480-899-9789
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist