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Marina A Maulucci, DPM
Foot Surgery Podiatrist in Tonawanda, New York
NPI 1396702486

Marina A Maulucci is a Foot Surgery Podiatrist based in Tonawanda, NY and is specialized in Foot Surgery. Marina A Maulucci practices in Tonawanda, NY and has the professional credentials of DPM. The NPI Number for Marina A Maulucci is 1396702486 and holds a License No. N003952 (New York).

The current practice location address for Marina A Maulucci is 1540 Ellicott Creek Rd, Tonawanda, NY and can be reached out via phone at 716-886-8289 and via fax at 716-886-8303.

Location: 1540 Ellicott Creek Rd, Tonawanda, NY, 14150-2935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396702486
Provider Name
Marina A Maulucci
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1540 Ellicott Creek Rd, Tonawanda, NY, 14150-2935
Phone Number
716-886-8289
Fax Number
716-886-8303
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00010254002 01 NY UNIVERA ELLICOTT CREEK OF
000500995001 01 NY BCBS ALL
480005207 01 NY MEDICARE RAILROAD
000500995004 01 NY BCBS DME
00010254001 01 NY UNIVERA
00975291 05 NY
8905488 01 NY INDEPENDENT HEALTH
institution
Provider Business Practice Location Address Details
Address
1540 Ellicott Creek Rd
City
Tonawanda
State
New York
Zip
14150-2935
Phone Number
716-886-8289
Fax Number
716-886-8303
person
Provider Business Mailing Address Details
Address
1540 Ellicott Creek Rd
City
Tonawanda
State
New York
Zip
14150-2935
Phone Number
716-886-8289
Fax Number
716-886-8303
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
N003952 (New York)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
N003952 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
N003952 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
N003952 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
N003952 (New York)
Definition
Definition to come...
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