Mulligan, Andrew

Mulligan, Andrew is an sole proprietor health care provider with primary practice located at 1092 Route 112 , Port Jefferson Station NY 11776-3043. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mulligan, Andrew can be contacted via phone (631) 474-3937.

Contact Information

Primary practice address
1092 Route 112 Port Jefferson Station NY 11776-3043
Phone: (631) 474-3937
Fax: (631) 474-3966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004441-1 New York

Profile Details

NPI number 1063637437
LBN Legal business name Mulligan, Andrew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated May 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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