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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1366761991 NPPES
New York MEDICAID 04187702

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