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1275031700
TIMOTHY EDWARD MULLIGAN
STATEN ISLAND, NY
NPI
1275031700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
TIMOTHY EDWARD MULLIGAN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2600
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Mailing Address
TIMOTHY EDWARD MULLIGAN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2600
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