Individual
JACQUELINE W MULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
764 PARK AVENUE, NEW YORK, NY 10021
(212) 585-3161
(212) 585-3162
Mailing address
30 DELEVAN LN, HARRISON, NY 10528-1302
(212) 585-3161
(212) 585-3162
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
183068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522783
—
NY
01
—
22L201
BCBS
NY
Enumeration date
02/28/2006
Last updated
07/08/2007
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