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Individual

DR. BRIAN K MCNULTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
504 MONTAUK HWY STE B, CENTER MORICHES, NY 11934-2232
(631) 878-2222
(631) 878-4129
Mailing address
504 MONTAUK HWY STE B, CENTER MORICHES, NY 11934-2232
(631) 878-2222
(631) 878-4129

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2378421
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02848319
NY
Enumeration date
01/11/2006
Last updated
01/19/2011
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