Individual
DR. JOHN M MULAWKA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6763 ERIE ROAD RT 5, DERBY, NY 14047
(716) 947-2222
(716) 947-2223
Mailing address
6763 ERIE ROAD RT 5, DERBY, NY 14047
(716) 947-2222
(716) 947-2223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224453
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02282048
—
NY
Enumeration date
10/17/2006
Last updated
01/07/2015
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