Mrs Kristina Elizabeth Mullaly, LPN | |
338 Raft Ave, Holbrook, NY 11741-5908 | |
(631) 960-2975 | |
Not Available |
Full Name | Mrs Kristina Elizabeth Mullaly |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 338 Raft Ave, Holbrook, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700358983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 266609-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristina Elizabeth Mullaly, LPN 338 Raft Ave, Holbrook, NY 11741-5908 Ph: (631) 960-2975 | Mrs Kristina Elizabeth Mullaly, LPN 338 Raft Ave, Holbrook, NY 11741-5908 Ph: (631) 960-2975 |
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