Mulry, Debra Ann
Mulry, Debra Ann is an sole proprietor health care provider with primary practice located at 145 Buffalo Ave , Medford NY 11763-3712. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Mulry, Debra Ann can be contacted via phone (631) 374-9936.Contact Information
Primary practice address
145 Buffalo Ave
Medford NY 11763-3712
Phone: (631) 374-9936
Fax: (631) 654-3391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 371173-1 | New York |
Profile Details
| NPI number | 1548326747 |
|---|---|
| LBN Legal business name | Mulry, Debra Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548326747 | NPPES |
| New York | MEDICAID | 02680211 |
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