BRAD EVAN MULLIGAN

COMMACK, NY
NPI1538795315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  024452)
Enumeration Date2020-03-12
Last Update Date2020-03-12
Business Address
BRAD EVAN MULLIGAN
37 TIMBER RIDGE DR
COMMACK, NY 11725-1739
Phone number: 631-889-1116
Mailing Address
BRAD EVAN MULLIGAN
37 TIMBER RIDGE DR
COMMACK, NY 11725-1739
Phone number: 631-889-1116