| Doctor Name: | MR. CHARLES JOSEPH MULLIN |
| NPI Number: | 1013941186 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPA-C |
| License Number: | 002833 |
| Business Practice Address: | Davis Ave At E Post Rd White Plains, NY - 106014615 |
| Business Phone Number: | 9146811158 |
| Business Fax Number: | 9146812912 |
| Mailing Address: | 145 Orchard St, WHITE PLAINS |
| State: | NY |
| Postal Code: | 106041407 |
| Phone Number: | 9147615640 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 002833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |