Organization
JOHN F MCNULTY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F NCNULTY MD (PRESIDENT)
(845) 454-4949
Entity
Organization
Contact information
Practice address
110 MAIN STREET, STE 1B, POUGHKEEPSIE, NY 12601-6707
(845) 454-4949
(845) 454-8828
Mailing address
110 MAIN STREET, STE 1B, POUGHKEEPSIE, NY 12601-6707
(845) 454-4949
(845) 454-8828
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
206911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WEV151
MEDICARE ID
NY
Enumeration date
11/18/2005
Last updated
04/01/2008
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