Marzulla, Avery F
Marzulla, Avery F is an individual health care provider with primary practice located at 101 Dates Dr , Ithaca NY 14850-1342. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Marzulla, Avery F can be contacted via phone (607) 274-4011.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 23 015101 | New York |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 015101 | New York |
Profile Details
NPI number | 1639453988 |
---|---|
LBN Legal business name | Marzulla, Avery F |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2011 |
Last updated | Mar 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639453988 | NPPES |
New York | MEDICAID | 01995615 |
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