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Individual

TARA K MULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
505 E 70TH ST, NEW YORK, NY 10021-4872
(212) 746-2900
Mailing address
539 HARTFORD CT, SOUTH ORANGE, NJ 07079-2723
(347) 752-8244

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F344194-1
NY
363L00000X
Nurse Practitioner
Primary
F-344194-1
NY

Other

Enumeration date
08/19/2019
Last updated
03/09/2026
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