Individual
MRS. SYLVIA MARZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT OCS
Contact information
Practice address
2625 DELAWARE AVE, BUFFALO, NY 14216
(716) 874-2759
(716) 874-2913
Mailing address
2625 DELAWARE AVE, BUFFALO, NY 14216
(716) 874-2759
(716) 874-2913
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0061882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011173701
UNIVERA
NY
01
—
000628235
BLUE CROSS
NY
01
—
9353652
INDEPEN HEALTH ASSOC
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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