Provider Demographics
NPI:1518110170
Name:MULLARKEY, MAUREEN PATRICIA
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:PATRICIA
Last Name:MULLARKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4820
Mailing Address - Country:US
Mailing Address - Phone:917-660-2694
Mailing Address - Fax:
Practice Address - Street 1:7 HILLTOP LN
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4820
Practice Address - Country:US
Practice Address - Phone:917-660-2694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0247252251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics