MEDICARE: DR TIMOTHY CULLINAN DC 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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1831031152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR TIMOTHY CULLINAN DC PLLC

Provider Business Mailing Address
First Line	:	72 W MAIN ST
Second Line	:
City	:	OYSTER BAY
State	:	NY
Zip	:	11771-2211
Country	:	US
Telephone Number	:	516-922-4606
Fax Number	:	516-922-4399

Provider Business Practice Location Address
First Line	:	72 W MAIN ST
Second Line	:
City	:	OYSTER BAY
State	:	NY
Zip	:	11771-2211
Country	:	US
Telephone Number	:	516-922-4606
Fax Number	:	516-922-4399

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIMOTHY CULLINAN
Credential	:	DC
Telephone Number	:	631-987-7521

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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