Sylvia Marzullo, PT OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0061882 Issued in NY

Practice address

2625 Delaware Ave
Buffalo, NY 14216

Phone

(716) 874-2759

Fax

(716) 874-2913

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457361719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-874-2759",
            "fax_number": "716-874-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-874-2759",
            "fax_number": "716-874-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZULLO",
        "first_name": "SYLVIA",
        "name_prefix": "Mrs.",
        "credential": "PT OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0061882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000628235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011173701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPEN HEALTH ASSOC",
            "identifier": "9353652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryvale School System
• John M Marzo, M.D.
• Georgia Marzullo, LMSW
• Shannon D Marzullo, ANP
• Stephanie Marzullo
• Jameelah Masaed, MSW
• Frank J Mascaro
• Julia Ann Mascaro, AUD
• Jarod S Masci, M.D.
• Anne Mascia

• Orthopedic Physical Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.