| Doctor Name: | CARRIN MCCULLOCH |
| NPI Number: | 1497053201 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 260490-1 |
| Business Practice Address: | 151 W 19th St 2nd Floor New York, NY - 100114116 |
| Business Phone Number: | 2124638338 |
| Business Fax Number: | |
| Mailing Address: | 151 W 19th St, 2nd Floor NEW YORK |
| State: | NY |
| Postal Code: | 100114116 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2011 |
| NPI Last Update Date: | 03/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 260490-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |