NPI 1154928711

Brittany Lee Mulligan, CRNA

Practitioner Anesthesiology Physician Bay Shore, NY

Practice location

Address: 301 E Main St, Bay Shore, NY 11706-8408
Phone: (631) 968-3000
Mailing address: 13990 Bartram Park Blvd Unit 3017, Jacksonville, FL 32258-5582

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 686868 (NY)

Other Anesthesiology providers in New York →

Registry record

NPI: 1154928711
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2020
Record last updated: 7 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.