Individual
JOSEPH MATTHEW DI LULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180
(518) 270-3008
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
228923
NY
2084P0805X
Geriatric Psychiatry Physician
228923
NY
Other
Enumeration date
06/29/2006
Last updated
05/11/2021
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