Mcmullen, Heather
Mcmullen, Heather is an individual health care provider with primary practice located at 221 Jericho Tpke , Syosset NY 11791-4515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mcmullen, Heather can be contacted via phone (516) 496-2752.Contact Information
Primary practice address
221 Jericho Tpke
Syosset NY 11791-4515
Phone: (516) 496-2752
Fax: (516) 496-2763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 196942 | New York |
Profile Details
| NPI number | 1760469621 |
|---|---|
| LBN Legal business name | Mcmullen, Heather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Oct 15th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760469621 | NPPES |
| New York | MEDICAID | 01846226 |
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