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NPI Code Detail

MEDICARE: JUNE MULVANEY MD

MEDICARE:   JUNE  MULVANEY  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
12080A0000XPediatric Adolescent Medicine Physician085497NY

General Provider Information

NPI Number : 1033171418
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNE MULVANEY MD
Provider Business Mailing Address
First Line : 1413 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2607
Country : US
Telephone Number : 718-636-4500
Fax Number : 718-636-2998
Provider Business Practice Location Address
First Line : 1413 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2607
Country : US
Telephone Number : 718-636-4500
Fax Number : 718-636-2998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/08/2007

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Directions to “ JUNE MULVANEY MD” Practice Location

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