Provider Demographics
NPI:1023160280
Name:MULRY, JAMES JOSEPH JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:MULRY
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:181 7TH AVENUE
Mailing Address - Street 2:PH 15A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1858
Mailing Address - Country:US
Mailing Address - Phone:917-599-8779
Mailing Address - Fax:212-689-7745
Practice Address - Street 1:36 WEST 25TH ST
Practice Address - Street 2:10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-683-8488
Practice Address - Fax:212-689-7745
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2021-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0169961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN07921Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE