STEPHANIE MULLEN (NPI# 1720472798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472798 |
| Entity Type | Individual |
| Full Name | STEPHANIE MULLEN |
| Practice Address |
173 Buffalo Ave Medford NY 11763-3714 |
| Practice Telephone | 6317646640 |
| Mailing Telephone | 6317646640 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450503 | Stephanie Mullen | Licensed Practical Nurse | 2172 College Ave, Elmira Heights, NY 14903-1287 | 2019-10-29 |
| 1831629856 | Stephanie Cihlar Mullen | Student in an Organized Health Care Education/Training Program | 4440 W. 95th Street, Oak Lawn, IL 60453 | 2017-06-13 |
| 1962865345 | Stephanie Mullen | Skilled Nursing Facility | 4955 Parsons Ave, Eugene, OR 97402-2270 | 2016-04-01 |
| Street Address |
173 BUFFALO AVE |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687702 | Joy Dunn | Specialist | 1801 Fire Ave, Medford, NY 11763-1783 | 2020-07-24 |
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1619450525 | Erica Sanniola | Specialist | 55 Apple Ln, Medford, NY 11763-4044 | 2018-09-07 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1093267114 | Rhiannon Skye Sgambati | Specialist | 152 Fordham Ave, Medford, NY 11763-3107 | 2016-10-25 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1932565660 | Vincent Giardina Jr. | Specialist | 1 Elena Ct, Medford, NJ 08055-9175 | 2016-01-11 |
| 1730551417 | Carson Mckee Case | Specialist | 924 E. Jackson, Medford, OR 97504 | 2015-10-21 |
| 1841674066 | Zachary Fisher | Specialist | 200 Peekskill Ave, Medford, NY 11763-3123 | 2015-07-17 |
| 1720483639 | Janet Sims | Specialist | 2240 Camp Baker Rd, Medford, OR 97501-9606 | 2014-11-04 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.