Individual
JUSTINA MARIE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 453-9088
(518) 688-3992
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 453-9088
(518) 688-3992
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
021971
NY
363AS0400X
Surgical Physician Assistant
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05113002
—
NY
Enumeration date
01/08/2018
Last updated
07/18/2025
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