Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Eda Gulu

Individual provider Medical Physician Assistant · NPI 1720714181

MS. Eda Gulu is a Physician Assistant in New York, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2022, 4 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
State University of New York at Stony Brook, School of Medicine
In the registry since
2022
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Practice location Address checks out

525 E 68th St
New York, NY 10065-4870
Phone: (212) 746-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1720714181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in New York