Individual
MAURICE CERULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7281
(718) 343-0128
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7281
(718) 343-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
118501
NY
207RG0100X
Gastroenterology Physician
Primary
118501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00248408
—
NY
Enumeration date
05/12/2006
Last updated
07/19/2012
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