Individual
DR. KEVIN M CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-3293
(212) 263-3522
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-3293
(212) 263-3522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015014458
MO
Other
Enumeration date
06/20/2012
Last updated
03/17/2021
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