National Provider Identifier
Avery F Marzulla, P.A.
Avery F Marzulla, P.A. is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1639453988
- Provider Type
- Individual
- Primary Specialty
- Hospitalist Physician
- Enumeration Date
- October 05, 2011
- Last Updated
- March 17, 2018
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4011
Specialties
- Hospitalist Physician (208M00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1639453988
- Entity Type
- Individual
- Last Name
- Marzulla
- First Name
- Avery
- Middle Name
- F
- Credential
- P.A.
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Mailing Phone
- (607) 274-4011
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- October 05, 2011
- Last Updated
- March 17, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospitalist Physician (208M00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 01995615 (NY)