Individual
KATHLEEN MULCAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 WEEKS ST, BLUE POINT, NY 11715-1513
(631) 419-6300
Mailing address
69 MADDOX AVE, ISLIP, NY 11751-2905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013012-1
NY
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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