Cullen, John D
Cullen, John D is an individual health care provider with primary practice located at 2655 Ridgeway Ave Suite 420, Rochester NY 14626-4296. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Cullen, John D can be contacted via phone (585) 723-7972.Contact Information
Primary practice address
2655 Ridgeway Ave Suite 420
Rochester NY 14626-4296
Phone: (585) 723-7972
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 279385 | New York |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 279385 | New York |
Profile Details
NPI number | 1366761991 |
---|---|
LBN Legal business name | Cullen, John D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2010 |
Last updated | Mar 12th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366761991 | NPPES |
New York | MEDICAID | 04187702 |
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