Mccullough, Andrew Richard
Mccullough, Andrew Richard is an individual health care provider with primary practice located at 23 Hackett Blvd , Albany NY 12208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mccullough, Andrew Richard can be contacted via phone (518) 262-3341.Contact Information
Primary practice address
23 Hackett Blvd
Albany NY 12208
Phone: (518) 262-3341
Fax: (518) 262-6660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 194809 | New York |
Profile Details
| NPI number | 1831183631 |
|---|---|
| LBN Legal business name | Mccullough, Andrew Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Apr 8th, 2011 - about 13 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 | 1831183631 | NPPES |
| New York | MEDICAID | 01523642 |
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