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Individual

DR. ANDREW MUTNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3959 BROADWAY, COLUMBIA UNVERSITY DEPARTMENT PEDIATRIC, NEW YORK, NY 10032-1559
(212) 304-7250
(212) 544-1974
Mailing address
3959 BROADWAY, COLUMBIA UNVERSITY DEPARTMENT PEDIATRIC, NEW YORK, NY 10032-1559
(212) 304-7250
(212) 544-1974

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
227307
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02726850
NY
Enumeration date
07/03/2006
Last updated
08/14/2012
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