National Provider Identifier
Michael Patrick McMullen, M.D.
Michael Patrick McMullen, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 426-1470.
Profile Overview
- NPI
- 1073575429
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 03, 2006
- Last Updated
- November 20, 2009
Practice Location
- 505 Beahan RD
- Rochester, NY 14624-3403
Phone: (585) 426-1470
Mailing Address
- 349 Melwood Dr
- Rochester, NY 14626-4510
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1073575429
- Entity Type
- Individual
- Last Name
- McMullen
- First Name
- Michael
- Middle Name
- Patrick
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 349 Melwood Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4510
- Mailing Country
- US
- Mailing Phone
- (585) 453-0419
- Mailing Fax
- (585) 453-0419
- Practice Street Address
- 505 Beahan RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-3403
- Practice Country
- US
- Practice Phone
- (585) 426-1470
- Practice Fax
- (585) 426-6510
- Enumeration Date
- April 03, 2006
- Last Updated
- November 20, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 1573 (NY, Blue Shield Provider #), 01089129 (NY), 5008322 (NY, Aetna Provider Number), BF101110 (NY, Preferred Care Provider), P010163485 (NM, Bc/Bs Payee Id), MM31444B (NY, Railroad Medicare #), 000911507002 (NY, Health Now Provider #)