Individual
MR. ANDREW TULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
625 OSBORN ST, BROOKLYN, NY 11212-5745
(917) 640-5172
Mailing address
625 OSBORN ST, BROOKLYN, NY 11212-5745
(917) 640-5172
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
728349
NY
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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