Mullen, Patrick James

Mullen, Patrick James is an individual health care provider with primary practice located at 9002 Queens Blvd , Elmhurst NY 11373-4941. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mullen, Patrick James can be contacted via phone (718) 558-2275.

Contact Information

Primary practice address
9002 Queens Blvd Elmhurst NY 11373-4941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X R000019 New York

Profile Details

NPI number 1760520126
LBN Legal business name Mullen, Patrick James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1760520126 NPPES
New York MEDICAID PENDING

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