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General NPI Number Information
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NPI Number | 1801847553
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Entity Type | Organization
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Legal Business Name | MICHAEL A ZULLO,MD,PC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 176 JOHNSON RD
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City | SCARSDALE
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State | NY
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Zip | 10583-6308
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Country | US
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Telephone | 914-723-0201
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Fax |
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Provider Business Mailing Address
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Address Line | 176 JOHNSON RD
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City | SCARSDALE
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State | NY
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Zip | 10583-6308
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Country | US
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Telephone | 914-723-0201
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL A. ZULLO
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Credential | M.D.
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Telephone | 914-723-0201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 131907
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License Number State | NY
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