MS. DEBRA ANN MULRY RN NPI 1548326747

NPI Information

NPI: 1548326747
Provider Name: MS. DEBRA ANN MULRY, RN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
145 BUFFALO AVE
MEDFORD, NY
ZIP 11763
Phone: (631) 374-9936
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MS. Debra Ann Mulry, RN is an administrator registered nurse in Medford, NY. MS. Debra Ann Mulry, RN NPI is 1548326747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

145 BUFFALO AVE
MEDFORD, NY
ZIP 11763-712
Phone: (631) 374-9936
Fax: (631) 654-3391

The enumeration date for this NPI number is 12/29/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	371173-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02680211	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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