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Isabelle Mulango, MD

Student in an Organized Health Care Education/Training Program in Staten Island, NY. Individual provider (NPI-1).

NPI number1497374243
StatusActive
Last updated in NPPESApr 12, 2020

Details

NPI
1497374243
Entity type
Individual (NPI-1)
Name
Isabelle Mulango
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2020
Certification date
Apr 12, 2020
Last updated
Apr 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

355 Bard Ave Dep'T Of Medicine Villa Bldg 1st Floor
Staten Island, NY 10310

Phone 718-818-2419

Mailing address

355 Bard Ave Dep'T Of Medicine Villa Bldg 1st Floor
Staten Island, NY 10310

Phone 718-818-2419

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