Individual
ELIZABETH ELLEN MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-4101
Mailing address
77 MAPLE AVE, TROY, NY 12180-5129
(518) 852-3504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
344705
NY
363LF0000X
Family Nurse Practitioner
Primary
F344705-1
NY
Other
Enumeration date
07/21/2019
Last updated
12/15/2023
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