MEDICARE: BRIDGET RITA MUELLER M.D. PHD

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
1	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	299728	NY

General Provider Information

NPI Number	:	1376938316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET RITA MUELLER M.D. PHD

Provider Business Mailing Address
First Line	:	5 E 98TH ST FL 7
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6501
Country	:	US
Telephone Number	:	401-862-7421
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 BRIXTON RD
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-4222
Country	:	US
Telephone Number	:	401-862-7421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2015
Last Update Date	:	06/10/2020

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