Provider Demographics
NPI:1285617050
Name:RICHARD L. MUELLER, MD, PC
Entity type:Organization
Organization Name:RICHARD L. MUELLER, MD, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-593-9800
Mailing Address - Street 1:401 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4103
Mailing Address - Country:US
Mailing Address - Phone:212-593-9800
Mailing Address - Fax:212-593-5757
Practice Address - Street 1:401 E 55TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4103
Practice Address - Country:US
Practice Address - Phone:212-593-9800
Practice Address - Fax:917-970-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-24
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150446207R00000X
NY207343207R00000X
NY176113207RC0000X
NJ25MA07693000207RC0000X
NY128085207RC0000X
NY224481207RC0000X
NY187114207RG0100X
NY194736207UN0901X
NY195473207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty