Individual
DR. HEATHER MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-2752
(516) 496-2763
Mailing address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-2752
(516) 496-2763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
196942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01846226
—
NY
Enumeration date
12/30/2005
Last updated
10/15/2013
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