Provider Demographics
NPI:1649708371
Name:CIULLO, MEAGHAN H (FNP)
Entity type:Individual
Prefix:MRS
First Name:MEAGHAN
Middle Name:H
Last Name:CIULLO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:MEAGHAN
Other - Middle Name:P
Other - Last Name:HURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:120 E 34TH ST APT 7E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4625
Mailing Address - Country:US
Mailing Address - Phone:631-678-7163
Mailing Address - Fax:
Practice Address - Street 1:535 E 70TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4823
Practice Address - Country:US
Practice Address - Phone:631-678-7163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341491-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily