National Provider Identifier
Markia McCullough
Markia McCullough is listed in the NPPES registry with a primary specialty of Vehicle Modifications Contractor in Rochester, NY and a listed phone number of (585) 340-7184.
Source: public NPPES record, last updated November 17, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1558964379
- Provider Type
- Individual
- Primary Specialty
- Vehicle Modifications Contractor
- Enumeration Date
- November 17, 2020
- Last Updated
- November 17, 2020
Practice Location
- 18 Riddle St
- Rochester, NY 14611-1010
Phone: (585) 340-7184
Specialties
- Vehicle Modifications Contractor (171WV0202X)
- Dental Assistant (126800000X)
- Peer Specialist (175T00000X)
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Full Record
- NPI
- 1558964379
- Entity Type
- Individual
- Last Name
- McCullough
- First Name
- Markia
- Mailing Street Address
- 18 Riddle St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1010
- Mailing Country
- US
- Mailing Phone
- (585) 340-7184
- Practice Street Address
- 18 Riddle St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1010
- Practice Country
- US
- Practice Phone
- (585) 340-7184
- Enumeration Date
- November 17, 2020
- Last Updated
- November 17, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- Certification Date
- November 17, 2020
- Taxonomies
- Vehicle Modifications Contractor (171WV0202X), Dental Assistant (126800000X), Peer Specialist (175T00000X)