Individual
DR. ESAAK JOHN MULLAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
252495
NY
207L00000X
Anesthesiology Physician
72135
CT
207L00000X
Anesthesiology Physician
MD483967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G400056571
GHI MEDICARE
NY
01
—
P01076117
RAILROAD MEDICARE
NY
Enumeration date
04/15/2009
Last updated
06/11/2024
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