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Contact Information

JILLIAN R MCNULTY, PA
480 SOUTH BEDFORD ROAD
CHAPPAQUA, NY10514
 Phone: 914-458-8863
 Fax: 914-458-8764
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JILLIAN R MCNULTY · (Female)

NPI # 1043628068
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/23/2014
Last updated 01/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017781
  • NY Other 13781002 CAQH
Hospital affiliation(s)
  • PHELPS MEMORIAL HOSPITAL ASSN - (Acute Care)
    701 NORTH BROADWAY
    SLEEPY HOLLOW, NY 10591
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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