Individual
TERESA A. MULAIKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(212) 342-2139
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(212) 342-2139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
252618
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
252618
NY
Other
Enumeration date
06/10/2007
Last updated
04/03/2013
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