Mui-Tellado, Ellen
Mui-Tellado, Ellen is an individual health care provider with primary practice located at 6962 188Th St , Fresh Meadows NY 11365-3771. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mui-Tellado, Ellen can be contacted via phone (718) 969-2890.Contact Information
Primary practice address
6962 188Th St
Fresh Meadows NY 11365-3771
Phone: (718) 969-2890
Fax: (718) 969-2979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 043351 | New York |
Profile Details
| NPI number | 1689854218 |
|---|---|
| LBN Legal business name | Mui-Tellado, Ellen |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Nov 12th, 2007 - about 18 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 | 1689854218 | NPPES |
| New York | MEDICAID | 02717408 |
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