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Individual

MRS. JACQUELINE MULONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
280 MADISON AVE, SUITE 1403, NEW YORK, NY 10046-0001
(917) 519-5475
Mailing address
221 09 43RD AVENUE, BAYSIDE, NY 11361-2424
(718) 281-0564

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0168921
NY

Other

Enumeration date
10/06/2006
Last updated
07/08/2007
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