Individual
CLAIRE DAVIDSON MULLANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(929) 200-7105
Mailing address
317 E 18TH ST APT 3E, NEW YORK, NY 10003-2775
(646) 761-8960
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2789616
NY
Other
Enumeration date
09/02/2021
Last updated
09/06/2021
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