Individual
JOHN D CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4296
(585) 723-7972
Mailing address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4296
(585) 723-7972
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
279385
NY
2084N0600X
Clinical Neurophysiology Physician
279385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04187702
—
NY
Enumeration date
05/21/2010
Last updated
03/12/2021
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