Individual
MR. JOSEPH ANTHONY GULLO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.S.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01565966
—
NY
01
—
1458
STATE LICENSE
NY
Enumeration date
10/10/2006
Last updated
07/08/2007
Update your record
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