Individual
MR. CHARLES JOSEPH MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
DAVIS AVE AT E POST RD, WHITE PLAINS, NY 10601-4615
(914) 681-1158
(914) 681-2912
Mailing address
145 ORCHARD ST, WHITE PLAINS, NY 10604-1407
(914) 761-5640
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002833
NY
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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