Organization
NEW YORK SPORTS AND JOINTS ORTHOPAEDIC SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MCCULLOCH MD (PRINCIPAL)
(718) 275-1919
Entity
Organization
Contact information
Practice address
6336 99TH ST, REGO PARK, NY 11374-1979
(718) 275-1919
Mailing address
6336 99TH ST, REGO PARK, NY 11374-1979
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
278501
NY
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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