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Individual

MS. ELIZABETH CATHERINE MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4 COULTER RD STE 1630, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1495
Mailing address
100 KINGS HIGHWAY SOUTH, PROVIDER ENROLLMENT, ROCHESTER, NY 14617
(585) 922-1304

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0160341
NY
363A00000X
Physician Assistant

Other

Enumeration date
09/11/2012
Last updated
07/03/2018
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