Provider Demographics
NPI:1164514139
Name:MULVEHILL, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MULVEHILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 EAST 61ST STREET
Mailing Address - Street 2:GFL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-9006
Mailing Address - Country:US
Mailing Address - Phone:212-737-3136
Mailing Address - Fax:212-737-3481
Practice Address - Street 1:10 E 78TH ST STE 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1731
Practice Address - Country:US
Practice Address - Phone:212-737-3136
Practice Address - Fax:212-737-3481
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216111207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY61C481Medicare PIN
H184337Medicare UPIN