Mullen, Edward E

Mullen, Edward E is an individual health care provider with primary practice located at 1 Healthy Way , Oceanside NY 11572-1551. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Mullen, Edward E can be contacted via phone (516) 632-3303.

Contact Information

Primary practice address
1 Healthy Way Oceanside NY 11572-1551
Phone: (516) 632-3303
Fax: (516) 336-2930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 172604 New York
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 172604-1 New York

Profile Details

NPI number 1104824606
LBN Legal business name Mullen, Edward E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 14th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104824606 NPPES
New York MEDICAID 1466513
New York MEDICAID 01465513

Popular Providers