Individual
KRISTINE MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 MAIN ST, PORT JEFFERSON, NY 11777-1658
(631) 374-9583
Mailing address
37 MITCHELL AVE, BABYLON, NY 11702-4108
(631) 402-2886
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Enumeration date
05/14/2024
Last updated
05/28/2024
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