Individual
ANDREW M CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25301 ROCKAWAY BLVD, ROSEDALE, NY 11422-3113
(516) 295-2135
(516) 295-4561
Mailing address
25301 ROCKAWAY BLVD, ROSEDALE, NY 11422-3113
(516) 295-2135
(516) 295-4561
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006356-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00724910
—
NY
Enumeration date
12/25/2007
Last updated
12/25/2007
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