Provider Demographics
NPI:1043468200
Name:CULOTTA, MARIA GIOVANNA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:GIOVANNA
Last Name:CULOTTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 MADISON AVE
Mailing Address - Street 2:SUITE 1 A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3814
Mailing Address - Country:US
Mailing Address - Phone:212-725-0123
Mailing Address - Fax:
Practice Address - Street 1:213 MADISON AVE
Practice Address - Street 2:SUITE 1 A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3814
Practice Address - Country:US
Practice Address - Phone:212-725-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263513207V00000X
VA0101248826207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology