Individual
ANNE DONNELLY- MULLOOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MILFORD LN, 8313, SUFFERN, NY 10901-7962
(845) 536-6979
Mailing address
1 MILFORD LN, 8313, SUFFERN, NY 10901-7962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
402087-1
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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