Provider Demographics
NPI:1093048134
Name:DONNA M MULLER, DC, PC
Entity Type:Organization
Organization Name:DONNA M MULLER, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-413-6597
Mailing Address - Street 1:48 MAHOPAC AVE
Mailing Address - Street 2:
Mailing Address - City:AMAWALK
Mailing Address - State:NY
Mailing Address - Zip Code:10501-1011
Mailing Address - Country:US
Mailing Address - Phone:914-413-6597
Mailing Address - Fax:914-962-4804
Practice Address - Street 1:48 MAHOPAC AVE
Practice Address - Street 2:
Practice Address - City:AMAWALK
Practice Address - State:NY
Practice Address - Zip Code:10501-1011
Practice Address - Country:US
Practice Address - Phone:914-413-6597
Practice Address - Fax:914-962-4804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006336-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty