Mulligan, Andrew
Mulligan, Andrew is an sole proprietor health care provider with primary practice located at 1092 Route 112 , Port Jefferson Station NY 11776-3043. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mulligan, Andrew can be contacted via phone (631) 474-3937.Contact Information
Primary practice address
1092 Route 112
Port Jefferson Station NY 11776-3043
Phone: (631) 474-3937
Fax: (631) 474-3966
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | TUV004441-1 | New York |
Profile Details
NPI number | 1063637437 |
---|---|
LBN Legal business name | Mulligan, Andrew |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 13th, 2007 |
Last updated | May 15th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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