Healthcare Provider Details

I. General information

NPI: 1831031152
Provider Name (Legal Business Name): DR TIMOTHY CULLINAN DC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 W MAIN ST
OYSTER BAY NY
11771-2211
US

IV. Provider business mailing address

72 W MAIN ST
OYSTER BAY NY
11771-2211
US

V. Phone/Fax

Practice location:
  • Phone: 516-922-4606
  • Fax: 516-922-4399
Mailing address:
  • Phone: 516-922-4606
  • Fax: 516-922-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY CULLINAN
Title or Position: OWNER
Credential: DC
Phone: 631-987-7521