Individual
DR. JAMIE ANN MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 372-7887
(914) 372-7884
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
269533
NY
Other
Enumeration date
04/01/2011
Last updated
04/21/2021
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