Mcclung, John

Mcclung, John is an individual health care provider with primary practice located at 19 Bradhurst Ave , Hawthorne NY 10532-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mcclung, John can be contacted via phone (914) 909-6900.

Contact Information

Primary practice address
19 Bradhurst Ave Hawthorne NY 10532-2140
Phone: (914) 909-6900
Fax: (914) 493-2828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 1275841 New York

Profile Details

NPI number 1295738136
LBN Legal business name Mcclung, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 14th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295738136 NPPES
New York MEDICAID 00712083
New York Other 060023508
New York Other 76A93K221

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