Provider Demographics
NPI:1720379795
Name:MULCARE, JEAN LORETTA (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:LORETTA
Last Name:MULCARE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:189 WARREN STREET
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:347-966-4104
Mailing Address - Fax:418-478-1285
Practice Address - Street 1:189 WARREN STREET
Practice Address - Street 2:SUITE 1A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-6459
Practice Address - Country:US
Practice Address - Phone:347-966-4104
Practice Address - Fax:418-478-1285
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2021-01-14
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Provider Licenses
StateLicense IDTaxonomies
NY2665992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry