MEDICARE: DR. FRANCIS J CULLEN MD

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	208200000X	Plastic Surgery Physician	186505	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	240006615	OTHER	NY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467453845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS J CULLEN MD

Provider Business Mailing Address
First Line	:	PO BOX 11471
Second Line	:	FRANCIS CULLEN MD
City	:	ALBANY
State	:	NY
Zip	:	12211-0471
Country	:	US
Telephone Number	:	518-482-7880
Fax Number	:	518-482-7882

Provider Business Practice Location Address
First Line	:	5 PALISADES DR
Second Line	:	SUITE 110
City	:	ALBANY
State	:	NY
Zip	:	12205-6433
Country	:	US
Telephone Number	:	518-482-7880
Fax Number	:	518-482-7882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/26/2020

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