Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 1319071 | NY |
NPI | 1023042611 |
---|---|
Provider Name | Michael A Zullo |
First Address | New York, NY 10075-2577 |
Second Address | New York, NY 10075-2577 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2100037 | GHI (01) | |
281023 | UNITED HEALTHCARE (01) | |
3038779 | OXFORD (01) | |
6566339 | CIGNA (01) | |
NY6256 | HEALTHNET (01) |