MEDICARE: MCCULLOCH ORTHOPAEDIC SURGICAL SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1386963254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCULLOCH ORTHOPAEDIC SURGICAL SERVICES, PLLC

Provider Business Mailing Address
First Line	:	520 FRANKLIN AVE STE 212
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5815
Country	:	US
Telephone Number	:	212-355-5555
Fax Number	:	877-992-0798

Provider Business Practice Location Address
First Line	:	12510 QUEENS BLVD STE 9
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1522
Country	:	US
Telephone Number	:	212-355-5555
Fax Number	:	877-992-0798

Authorized Official
Title or Position	:	COO
Name	:	ANDREW MCCULLOCH
Credential	:
Telephone Number	:	734-645-3899

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	02/04/2026

Similar Medicare Providers

1750453130 — BEVERLY'S HOME HEALTH CARE INC
Practice Location Address:

12510 QUEENS BLVD STE 5
KEW GARDENS, NY
11415-1522

Practice Phone: 718-459-5592
Practice Fax: 718-459-6047

1417125212 — LILIAN F CHOI L.AC.
Practice Location Address:

4932 HORATIO PKWY
OAKLAND GARDENS, NY
11364-1522

Practice Phone: 917-653-0308
Practice Fax: 718-281-4661

1477556462 — DR. HOWARD JAY KIRSCHNER DDS
Practice Location Address:

12510 QUEENS BLVD , SUITE 1707
KEW GARDENS, NY
11415-1532

Practice Phone: 718-263-9797
Practice Fax: 718-263-3925

1194721043 — MARIAN DAVID, MD, PC
Practice Location Address:

12510 QUEENS BLVD , SUITE 2701
KEW GARDENS, NY
11415-1519

Practice Phone: 718-261-0444
Practice Fax: 718-261-0940

1841283108 — DR. MICHAEL JAY GOODMAN DDS
Practice Location Address:

12301 82ND RD
KEW GARDENS, NY
11415-1601

Practice Phone: 718-261-6303
Practice Fax: 718-261-0307

1871587196 — DR. GABRIEL FULOP D.D.S.
Practice Location Address:

8137 LEFFERTS BLVD
KEW GARDENS, NY
11415-1728

Practice Phone: 718-847-4764
Practice Fax: 718-847-8383

Directions to “MCCULLOCH ORTHOPAEDIC SURGICAL SERVICES, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.