Individual
CRISTIN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4024 AMBOY RD, STATEN ISLAND, NY 10308-2409
(718) 984-9022
Mailing address
543 BEACH 130TH ST, BELLE HARBOR, NY 11694-1530
(917) 596-5678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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