Individual
LAURIE R MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 FORT WASHINGTON AVENUE SUITE 1J, NEW YORK, NY 10040-3900
(212) 543-4325
(212) 543-4324
Mailing address
630 FORT WASHINGTON AVENUE SUITE 1J, NEW YORK, NY 10040-3900
(212) 543-4325
(212) 543-4324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010137-1
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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