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Individual

MR. STEPHANE MULLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1500
(315) 798-1726
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1500
(315) 798-1726

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
205618
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01713648
NY
Enumeration date
02/02/2007
Last updated
05/17/2026
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