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Dr. Shanen M Mulles, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1790313476

Shanen M Mulles is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Shanen M Mulles practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Shanen M Mulles is 1790313476 and holds a License No. (New York).

The current practice location address for Shanen M Mulles is Hsc Level 19, Room 030, Stony Brook, NY and can be reached out via phone at 631-444-1791 and via fax at 631-444-7689.

Location: Hsc Level 19, Room 030, Stony Brook, NY, 11794-8191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790313476
Provider Name
Shanen M Mulles
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Hsc Level 19, Room 030, Stony Brook, NY, 11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Hsc Level 19, Room 030
City
Stony Brook
State
New York
Zip
11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
person
Provider Business Mailing Address Details
Address
Hsc Level 19, Room 030
City
Stony Brook
State
New York
Zip
11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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