Individual
ANDREW MULQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
991 MAIN ST STE 204, HOLBROOK, NY 11741-1608
(631) 972-5926
Mailing address
991 MAIN ST STE 204, HOLBROOK, NY 11741-1608
(631) 972-5926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022477
NY
Other
Enumeration date
05/07/2022
Last updated
05/07/2022
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