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Contact Information

JOHN M MULAWKA III, DO
6763 ERIE ROAD RT 5
DERBY, NY14047
 Phone: 716-947-2222
 Fax: 716-947-2223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN M MULAWKA III · (Male)

NPI # 1417037755
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/17/2006
Last updated 01/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 224453
  • NY Medicaid 02282048
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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