Provider Demographics
NPI:1194119305
Name:MULLAKARY, ROSHINI (MD)
Entity type:Individual
Prefix:
First Name:ROSHINI
Middle Name:
Last Name:MULLAKARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSHINI
Other - Middle Name:
Other - Last Name:KURIAKOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1600 HARRISON AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 HARRISON AVE STE 304
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3151
Practice Address - Country:US
Practice Address - Phone:914-777-1179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304352207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology