NPI 1184869521

Joshua Jon Mullen, CPO

Practitioner Prosthetist Syracuse, NY

Practice location

Address: 800 Irving Ave, Syracuse, NY 13210-2716
Phone: (315) 425-6545

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1184869521
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2008
Record last updated: 15 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.