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Contact Information

MARINA A MAULUCCI, DPM
1540 ELLICOTT CREEK RD
STE 1
TONAWANDA, NY14150-2935
 Phone: 716-886-8289
 Fax: 716-886-8303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARINA A MAULUCCI · (Female)

NPI Number 1396702486
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/01/2006
Last updated 03/02/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # N003952
  • NY Medicaid 00975291
  • NY Other 000500995001 BCBS ALL
  • NY Other 000500995004 BCBS DME
  • NY Other 8905488 INDEPENDENT HEALTH
  • NY Other 480005207 MEDICARE RAILROAD
  • NY Other 00010254001 UNIVERA
  • NY Other 00010254002 UNIVERA ELLICOTT CREEK OF
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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