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NPI Code Detail

MEDICARE: DR. PATRICK H MCNULTY M.D.

MEDICARE:  DR. PATRICK H MCNULTY  M.D.
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
1207RC0000XCardiovascular Disease Physician238710NY
2207RI0011XInterventional Cardiology Physician238710NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881650109
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK H MCNULTY M.D.
Provider Business Mailing Address
First Line : PO BOX 725
Second Line :
City : COOPERSTOWN
State : NY
Zip : 13326-0725
Country : US
Telephone Number : 607-547-3181
Fax Number : 607-547-6857
Provider Business Practice Location Address
First Line : 211 CHURCH ST
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-1090
Country : US
Telephone Number : 518-287-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 09/24/2025

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