Michael Mulligan
Individual provider Active NPI Registered Nurse · Piermont, NY
NPI 1619862885 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1619862885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 758464 (NY)
- Practice address
- 8 E Lawrence Park Dr
Piermont, NY 10968-3135 - Phone
- (845) 825-7459
- NPI assigned
- Jun 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 758464 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 758464 | NY | Yes |
Addresses
Primary practice location
8 E Lawrence Park Dr
Piermont, NY 10968-3135
Mailing address
8 E Lawrence Park Dr
Piermont, NY 10968-3135
Other providers in Piermont, NY
- Antonio Marti
- Kathleen Mauro
- Heather Nicole McQuade
- Danielle Nicole Michaels
- Eileen Montalbano
- Victoria Nathanielle Nelson
- Daniel Nicholson
- Olivia Ohanian
- Rina Pelinku
- Jennifer M Pesce
All providers in Piermont, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.