Mulkin, Lisa Kay

Mulkin, Lisa Kay is an individual health care provider with primary practice located at 404 William St , Geneva NY 14456-2143. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Mulkin, Lisa Kay can be contacted via phone (315) 789-3067.

Contact Information

Primary practice address
404 William St Geneva NY 14456-2143
Phone: (315) 789-3067
Fax: (315) 789-0056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050514-1 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 050514-1 New York

Profile Details

NPI number 1902916307
LBN Legal business name Mulkin, Lisa Kay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902916307 NPPES
New York Other 050514 NEW YORK STATE LICENSE
New York Other 70455LM NEW YORK STATE LICENSE

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