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Christopher William Cullam, LPN

Licensed Practical Nurse in Babylon, NY. Individual provider (NPI-1).

NPI number1740947993
StatusActive
Last updated in NPPESNov 23, 2021

Details

NPI
1740947993
Entity type
Individual (NPI-1)
Name
Mr. Christopher William Cullam
Credential
LPN
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 23, 2021
Certification date
Nov 11, 2021
Last updated
Nov 23, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse318880-01NYYes

Practice location

32 S Bay Dr
Babylon, NY 11702-4114

Phone 631-456-3400

Mailing address

32 S Bay Dr
Babylon, NY 11702-4114

Phone 631-456-3400

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Babylon, NY

All 32 Licensed Practical Nurse providers in Babylon · All 725 providers in Babylon

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