Mullen, Gregory
Mullen, Gregory is an individual health care provider with primary practice located at 1290 Upper Front St , Binghamton NY 13901-1043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mullen, Gregory can be contacted via phone (607) 722-3417.Contact Information
Primary practice address
1290 Upper Front St
Binghamton NY 13901-1043
Phone: (607) 722-3417
Fax: (607) 722-7610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 202521 | New York |
Profile Details
| NPI number | 1023001245 |
|---|---|
| LBN Legal business name | Mullen, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Nov 19th, 2011 - about 14 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 | 1023001245 | NPPES |
| New York | MEDICAID | 01657258 |
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