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:
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Health care specialties

SpecialtyCodeLicense #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 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 1023001245 NPPES
New York MEDICAID 01657258

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