Individual
DR. PATRICIA A. MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
347 EDISON ST, STATEN ISLAND, NY 10306-3034
(718) 351-1136
(718) 667-9711
Mailing address
97 NEW DORP LN, STATEN ISLAND, NY 10306-2359
(718) 876-6220
(718) 876-5969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207142-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01890317
—
NY
Enumeration date
12/09/2005
Last updated
03/07/2023
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