Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laurie R Mullen

Individual provider Chiropractor · NPI 1962614404

Laurie R Mullen is a Chiropractic in New York, New York. Qualified in 2001, 25 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

630 Fort Washington Ave Ste 1J
New York, NY 10040-3900
Phone: (212) 543-4325
Fax: (212) 543-4324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X010137-1 (NY)

Record details

NPI number1962614404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated

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