National Provider Identifier

John M Mulawka III, DO

John M Mulawka III, DO is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Derby, NY and a listed phone number of (716) 947-2222.

NPI 1417037755Derby, NYPediatrics Physician

Profile Overview

NPI
1417037755
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
October 17, 2006
Last Updated
January 07, 2015

Practice Location

  • 6763 Erie Road Rt 5
  • Derby, NY 14047

Phone: (716) 947-2222

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1417037755
Entity Type
Individual
Last Name
Mulawka
First Name
John
Middle Name
M
Name Prefix
Dr.
Name Suffix
III
Credential
DO
Mailing Street Address
6763 Erie Road Rt 5
Mailing City
Derby
Mailing State
NY
Mailing ZIP Code
14047
Mailing Country
US
Mailing Phone
(716) 947-2222
Mailing Fax
(716) 947-2223
Practice Street Address
6763 Erie Road Rt 5
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047
Practice Country
US
Practice Phone
(716) 947-2222
Practice Fax
(716) 947-2223
Enumeration Date
October 17, 2006
Last Updated
January 07, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
02282048 (NY)