Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 304352 | NY |
NPI | 1194119305 |
---|---|
Provider Name | Roshini Mullakary |
First Address | Mamaroneck, NY 10543-3151 |
Second Address | Mamaroneck, NY 10543-3151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2015 |
Last Update Date | 26/09/2020 |