Organization
ROBERT D. MCMULLEN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D. MCMULLEN MD (PRESIDENT)
(212) 362-9635
Entity
Organization
Contact information
Practice address
171 W 79TH ST, SUITE #2, NEW YORK, NY 10024-6449
(212) 362-9635
(212) 362-3997
Mailing address
171 W 79TH ST, SUITE #2, NEW YORK, NY 10024-6449
(212) 362-9635
(212) 362-3997
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
131895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131895
LICENSE
NY
Enumeration date
01/23/2007
Last updated
08/22/2020
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