Individual
BRIAN MULLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
16 SCARSDALE AVE, SCARSDALE, NY 10583-4045
(914) 819-3759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060704
NY
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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