Individual
DR. ANDREW MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1092 ROUTE 112, PORT JEFFERSON STATION, NY 11776-3043
(631) 474-3937
(631) 474-3966
Mailing address
1092 ROUTE 112, PORT JEFFERSON STATION, NY 11776-3043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004441-1
NY
Other
Enumeration date
04/13/2007
Last updated
05/15/2016
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