Provider Demographics
NPI:1174517346
Name:KULKARNI, SUBHASH (MD)
Entity type:Individual
Prefix:DR
First Name:SUBHASH
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CLOCK TOWER CMNS
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4055
Mailing Address - Country:US
Mailing Address - Phone:845-279-5187
Mailing Address - Fax:845-279-5168
Practice Address - Street 1:129 CLOVE BRANCH RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-5284
Practice Address - Country:US
Practice Address - Phone:845-592-4915
Practice Address - Fax:855-703-7570
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1195891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
711001Medicare ID - Type Unspecified
D91617Medicare UPIN