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NPI Code Detail

MEDICARE: TERESA MULLER RN

MEDICARE:   TERESA  MULLER  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse356528-1NY

General Provider Information

NPI Number : 1023387982
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA MULLER RN
Provider Business Mailing Address
First Line : 101 GARDEN ST
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-6506
Country : US
Telephone Number : 516-746-7057
Fax Number :
Provider Business Practice Location Address
First Line : 27A SHELTER ROCK RD
Second Line :
City : MANHASSET
State : NY
Zip : 11030-3953
Country : US
Telephone Number : 516-267-7460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2011
Last Update Date : 12/22/2011

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