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NPI Code Detail

MEDICARE: MONALISA N MUCHATUTA MD

MEDICARE: MONALISA N MUCHATUTA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician286437-1NY
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164862678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONALISA N MUCHATUTA MD
Provider Business Mailing Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-5180
Fax Number :
Provider Business Practice Location Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2013
Last Update Date : 06/23/2026

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Directions to “ MONALISA N MUCHATUTA MD” Practice Location

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