Healthcare Provider Details

I. General information

NPI: 1154925709
Provider Name (Legal Business Name): VALERIA CUZZI-MARRUFFO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10515 CRESTWOOD DR STE 203
MANASSAS VA
20109-4423
US

IV. Provider business mailing address

4207 ARDMORE PL
FAIRFAX VA
22030-5109
US

V. Phone/Fax

Practice location:
  • Phone: 703-552-5026
  • Fax: 571-755-3335
Mailing address:
  • Phone: 703-577-8621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701014689
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: