Amanda Bridget Mullaney | Brooklyn, NY • PECOS Search

Amanda Bridget Mullaney

Specialist

Other Service Providers

7616 13th Ave, Thursday'S Child, Brooklyn, NY 11228-2412

(718) 630-5100 (718) 581-7775

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Bridget Mullaney does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821350547
Provider Type
Individual
Full Name
Mullaney, Amanda Bridget
Credential
M.S. ED

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/8/2012
Last Updated
6/2/2021

Contact Information

Practice Location

7616 13th Ave, Thursday'S Child, Brooklyn, NY 11228-2412

Unlisted Fax

Mailing Location

8000 4th Ave Apt 122, Brooklyn, NY 11209-3945

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer