Individual
MRS. BREDA MULVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2372 206TH ST, BAYSIDE, NY 11360-1348
(646) 645-8676
Mailing address
2372 206TH ST, BAYSIDE, NY 11360-1348
(646) 645-8676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
473684-1
NY
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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