Healthcare Provider Details

I. General information

NPI: 1124206255
Provider Name (Legal Business Name): FRANCESCO MULE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27005 76TH AVE LIJMC
NEW HYDE PARK NY
11040-1433
US

IV. Provider business mailing address

704 166TH ST APT 4B
WHITESTONE NY
11357-2030
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-7500
  • Fax:
Mailing address:
  • Phone: 718-343-0155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number244092
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: