Individual
MS. MARYELLEN ZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1000
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(646) 797-8743
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002434
NY
Other
Enumeration date
09/28/2007
Last updated
09/09/2013
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