Provider Demographics
NPI:1477687762
Name:LEMON-MULE, HEATHER (MD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:LEMON-MULE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 166TH ST
Mailing Address - Street 2:APT 4B
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2058
Mailing Address - Country:US
Mailing Address - Phone:718-343-0155
Mailing Address - Fax:718-960-3792
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, ST. BARNABAS HOSPITAL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:718-960-9331
Practice Address - Fax:718-960-3792
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236489208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics