Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYNN B. CORNELL-MULLANE, LCAT, RDT, MA
Active Sole ProprietorKAITLYNN B. CORNELL-MULLANE, LCAT, RDT, MA is a 101200000X healthcare provider located in RIDGEWOOD, New York. NPI 1285217547 is currently active in the NPPES registry. Verify at CMS.
101200000X · RIDGEWOOD, NY
Registration Details
- NPI Number
- 1285217547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2021 (5.257194845965 yrs)
- Last Updated
- May 8, 2024
- Licenses
-
002579 (NY)002579 (NY)002579 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
802 SENECA AVE APT 3LRIDGEWOOD, NY, 113854810Browse NY providers · Browse ZIP 11385
- Phone
- 8459012799
- Primary Specialty
-
101200000X
101200000X
- Additional Specialty
- Art Therapist
- Additional Specialty
- 101200000X
Other 101200000X Providers in RIDGEWOOD, NY
| Name | Credential | NPI |
|---|---|---|
| LAURA POTEL | LCAT | 1760068050 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.