Individual
MR. CHRISTOPHER WILLIAM CULLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
32 S BAY DR, BABYLON, NY 11702-4114
(631) 456-3400
Mailing address
32 S BAY DR, BABYLON, NY 11702-4114
(631) 456-3400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318880-01
NY
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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