Individual
DR. JOHN MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 909-6900
(914) 493-2828
Mailing address
100 WOODS RD, TCC ROOM D368, VALHALLA, NY 10595-1530
(914) 493-7530
(914) 493-5827
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1275841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00712083
—
NY
01
—
060023508
RAIL ROAD MEDICARE
NY
01
—
76A93K221
PTAN
NY
Enumeration date
05/24/2005
Last updated
03/14/2013
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