Individual
SUSAN M MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 BAY ST, GLENS FALLS, NY 12801-2329
(518) 792-4140
(518) 792-9008
Mailing address
152 BAY ST, GLENS FALLS, NY 12801-2329
(518) 792-4140
(518) 792-9008
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007229-1
NY
Other
Enumeration date
07/24/2009
Last updated
04/16/2013
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