Mr Gene P Mccullough, RN,NP - Nurse Practitioner in New York, NY

Mr Gene P Mccullough, RN,NP is a Nurse Practitioner - Psychiatric/mental Health based in New York, New York. Mr Gene P Mccullough is licensed to practice in New York (license number F400071-1) and his current practice location is 1090 Amsterdam Ave, St.luke's/roosevelt Hospital Psychiatry Department, New York, New York. He can be reached at his office (for appointments etc.) via phone at (917) 596-7336.

NPI number for Mr Gene P Mccullough is 1629068655 and his current mailing address is 129 Willoughby Ave, Brooklyn, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629068655.

Contact Information

Mr Gene P Mccullough, RN,NP
1090 Amsterdam Ave, St.luke's/roosevelt Hospital Psychiatry Department,
New York, NY 10025-1737
(917) 596-7336
Not Available

Map and Direction




Provider's Profile

Full NameMr Gene P Mccullough
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1090 Amsterdam Ave, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629068655
  • Provider Enumeration Date: 10/21/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Gene P Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629068655NPI-NPPES
02136450MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F400071-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gene P Mccullough is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gene P Mccullough, RN,NP
129 Willoughby Ave,
Brooklyn, NY 11205-3726

Ph: () -
Mr Gene P Mccullough, RN,NP
1090 Amsterdam Ave, St.luke's/roosevelt Hospital Psychiatry Department,
New York, NY 10025-1737

Ph: (917) 596-7336

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