Individual
MR. PATRICK CHARLES MULLALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
18 VAN BROOK DR, STORMVILLE, NY 12582-5211
(347) 820-3563
Mailing address
18 VAN BROOK DR, STORMVILLE, NY 12582-5211
(347) 820-3563
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003196-3
NY
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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