Individual
DANIELLE MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(877) 768-8462
Mailing address
8 MORTON ST, FARMINGDALE, NY 11735-4324
(631) 487-4854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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