Organization
NEW YORK SPORTS AND JOINTS ORTHOPAEDIC SPECIALISTS PLLC
Active
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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