Healthcare Provider Details

I. General information

NPI: 1831577402
Provider Name (Legal Business Name): ERIN JOY CAVIN MUCKEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 7TH AVE
NEW YORK NY
10011-6629
US

IV. Provider business mailing address

200 W 13TH ST FL 6
NEW YORK NY
10011-7702
US

V. Phone/Fax

Practice location:
  • Phone: 646-665-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number294887
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA10561400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: