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Individual
KATHLEEN MULLANEY
Active
Individual
KATHLEEN MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718071
NY
363AM0700X
Medical Physician Assistant
347806
NY
363L00000X
Nurse Practitioner
Primary
SP031519
PA
363LF0000X
Family Nurse Practitioner
347806
NY
Other
Enumeration date
06/16/2021
Last updated
07/02/2025
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