Individual
TIMOTHY JOHN MULRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
217 E MAIN ST, BAY SHORE, NY 11706-8407
(631) 647-3800
Mailing address
217 E MAIN ST, BAY SHORE, NY 11706-8407
(631) 647-3800
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
282436
NY
Other
Enumeration date
04/27/2014
Last updated
08/10/2020
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