Individual
MS. DEBRA ANN MULRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 BUFFALO AVE, MEDFORD, NY 11763-3712
(631) 374-9936
(631) 654-3391
Mailing address
145 BUFFALO AVE, MEDFORD, NY 11763-3712
(631) 374-9936
(631) 654-3391
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
371173-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02680211
—
NY
Enumeration date
12/29/2006
Last updated
07/09/2007
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