Mullen, Elaine

Mullen, Elaine is an individual health care provider with primary practice located at 513 W 166Th St Fl 4 , New York NY 10032-4207. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Mullen, Elaine can be contacted via phone (212) 928-8300.

Contact Information

Primary practice address
513 W 166Th St Fl 4 New York NY 10032-4207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 003823 New York

Profile Details

NPI number 1104252063
LBN Legal business name Mullen, Elaine
Credentials M.S., OTR
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2013
Last updated Sep 23rd, 2013 - about 13 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 1104252063 NPPES
New York Other 003823 LICENSE

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