| Michael P. Mcmullen M.d. P.c. | |
|
505 Beahan Rd Rochester NY 14624-3403 | |
| (585) 426-1470 | |
| (585) 426-6510 |
| Full Name | Michael P. Mcmullen M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 505 Beahan Rd, Rochester, New York |
| Authorized Official Name and Position | Christine Mary Mcmullen (OFFICE MANAGER) |
| Authorized Official Contact | 5854261470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P. Mcmullen M.d. P.c. 505 Beahan Rd Rochester NY 14624-3403 Ph: (585) 426-1470 | Michael P. Mcmullen M.d. P.c. 505 Beahan Rd Rochester NY 14624-3403 Ph: (585) 426-1470 |
| NPI Number | 1366827826 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Medicare PECOS PAC ID | 4284940412 |
|---|---|
| Medicare Enrollment ID | O20150902000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366827826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 163485 (New York) | Primary |
| Provider Name | Michael P Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073575429 PECOS PAC ID: 8022143239 Enrollment ID: I20100312000724 |
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