Doctor Name: | KARLA L. MULLIGAN |
NPI Number: | 1306993761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 159945 |
Business Practice Address: | 295 Mary Jemison Drive Opwdd - Finger Lakes Office Geneseo, NY - 14454 |
Business Phone Number: | 5852430098 |
Business Fax Number: | 5852430107 |
Mailing Address: | 295 Mary Jemison Drive, Opwdd - Finger Lakes Office GENESEO |
State: | NY |
Postal Code: | 14454 |
Phone Number: | 5852430098 |
Fax Number: | 5852430107 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 159945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |