Individual
MR. LEON MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MERRICK AVENUE, SUITE 105, EAST MEADOW, NY 11554-1580
(516) 542-0255
(516) 542-0276
Mailing address
30 MERRICK AVENUE, SUITE 105, EAST MEADOW, NY 11554-1580
(516) 542-0255
(516) 542-0276
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
132791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00663103
—
NY
Enumeration date
10/27/2006
Last updated
01/14/2014
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