Individual
MRS. DOROTHY C. MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C
Contact information
Practice address
121 EVERETT ROAD, ALBANY, NY 12205
(518) 453-9088
(518) 689-3895
Mailing address
121 EVERETT ROAD, ALBANY, NY 12205
(518) 453-9088
(518) 689-3895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
363AS0400X
Surgical Physician Assistant
002040-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141777794
BLUE SHIELD
NY
Enumeration date
03/23/2006
Last updated
03/15/2012
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