National Provider Identifier

Marina A Maulucci, D.P.M.

Marina A Maulucci, D.P.M. is listed in the NPPES registry with a primary specialty of Podiatrist in Tonawanda, NY and a listed phone number of (716) 886-8289.

NPI 1396702486Tonawanda, NYPodiatrist

Profile Overview

NPI
1396702486
Provider Type
Individual
Primary Specialty
Podiatrist
Enumeration Date
May 01, 2006
Last Updated
March 02, 2017

Practice Location

  • 1540 Ellicott Creek RD
  • Ste 1
  • Tonawanda, NY 14150-2935

Phone: (716) 886-8289

Specialties

  • Podiatrist (213E00000X)
  • Foot Surgery Podiatrist (213ES0131X)
  • Primary Podiatric Medicine Podiatrist (213EP1101X)
  • Radiology Podiatrist (213ER0200X)
  • Sports Medicine Podiatrist (213ES0000X)
Full Record
NPI
1396702486
Entity Type
Individual
Last Name
Maulucci
First Name
Marina
Middle Name
A
Credential
D.P.M.
Mailing Street Address
1540 Ellicott Creek RD
Mailing Address Line 2
Ste 1
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-2935
Mailing Country
US
Mailing Phone
(716) 886-8289
Mailing Fax
(716) 886-8303
Practice Street Address
1540 Ellicott Creek RD
Practice Address Line 2
Ste 1
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-2935
Practice Country
US
Practice Phone
(716) 886-8289
Practice Fax
(716) 886-8303
Enumeration Date
May 01, 2006
Last Updated
March 02, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Podiatrist (213E00000X), Foot Surgery Podiatrist (213ES0131X), Primary Podiatric Medicine Podiatrist (213EP1101X), Radiology Podiatrist (213ER0200X), Sports Medicine Podiatrist (213ES0000X)
Other Identifiers
00010254002 (NY, Univera Ellicott Creek Of), 000500995001 (NY, BCBS All), 480005207 (NY, Medicare Railroad), 000500995004 (NY, BCBS Dme), 00010254001 (NY, Univera), 00975291 (NY), 8905488 (NY, Independent Health)