Organization
JOHN MULAWKA DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL MULAWKA III DO (OWNER)
(716) 947-2222
Entity
Organization
Contact information
Practice address
6763 ERIE RD, DERBY, NY 14047-9670
(716) 947-2222
(716) 947-2223
Mailing address
6763 ERIE RD, DERBY, NY 14047-9670
(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
—
01887952
—
NY
Enumeration date
09/28/2012
Last updated
09/28/2012
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