Most Relevant Information
Provider Data
| NPI Number: | 1003378597 |
| Provider Name: | KIMALLY TULOCH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2019 |
| Last Updated: | 04/03/2019 |
Provider Practice Location
256 WASHINGTON ST
MOUNT VERNON
NY
105531052
Practice Location Phone/Fax
| Phone: | 9146130770 |
| Fax: |
Provider Mailing Location
240 S 7TH AVE APT 6B
MOUNT VERNON
NY
105503824
Provider Mailing Phone/Fax
| Phone: | 9143430337 |
| Fax: |