Provider Demographics
NPI:1396796934
Name:MICHAEL A ZULLO MD & GERARDO L ZULLO MD LLP
Entity type:Organization
Organization Name:MICHAEL A ZULLO MD & GERARDO L ZULLO MD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZULLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-535-3359
Mailing Address - Street 1:1440 YORK AVE
Mailing Address - Street 2:SUITE P-6
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2577
Mailing Address - Country:US
Mailing Address - Phone:212-535-3359
Mailing Address - Fax:
Practice Address - Street 1:1440 YORK AVE
Practice Address - Street 2:SUITE P-6
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2577
Practice Address - Country:US
Practice Address - Phone:212-535-3359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2015-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW6L731Medicare PIN
NYW6L731Medicare PIN