Individual
MRS. TRACI MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 ROUTE 25A STE 1, MOUNT SINAI, NY 11766-2073
(631) 495-1144
Mailing address
474 SMITH AVE, ISLIP, NY 11751-4709
(631) 495-1144
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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