Individual
BRETT ALEXANDER MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4726
(585) 266-5363
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4726
(585) 266-5363
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
023891
NY
Other
Enumeration date
08/26/2019
Last updated
02/11/2021
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