Individual
MR. DOUGLAS MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
HSC LEVEL 4 RM 080, STONY BROOK, NY 11794-0001
(631) 444-2478
(631) 444-3919
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02217756
—
NY
Enumeration date
07/18/2006
Last updated
05/18/2009
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