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MARIETTA ANZIA MANLULU
NPI 1053833574
Nurse Practitioner - Family in East Meadow, NY

Active since July 17, 2017
2201 HEMPSTEAD TPKE DEPT OF, EAST MEADOW, NY 11554(516) 572-8831(516) 572-9486 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017, Jul 17, 2017 (3 updates tracked since 2017).

About Marietta Anzia Manlulu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIETTA ANZIA MANLULU (NPI 1053833574) is an individual family provider in East Meadow, New York, licensed in New York (F335129-1) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1053833574
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIETTA ANZIA MANLULU
Location Address2201 HEMPSTEAD TPKE DEPT OFEast Meadow, NY 11554-1859
Mailing Address2201 Hempstead Tpke Dept OfEast Meadow, NY 11554-1859 · (516) 572-8831 · Fax (516) 572-9486
Phone(516) 572-8831
Fax(516) 572-9486
Sole ProprietorNo
Enumeration DateJuly 17, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1053833574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F335129-1
2201 HEMPSTEAD TPKE DEPT OF, East Meadow, NY 11554
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE MARIE YOUNG M.D.
Allergy & Immunology
2201 HEMPSTEAD TPKE DEPT OF
EAST MEADOW, NY 11554
Nassau County (516) 572-6177
UPSTATE ANESTHESIA SERVICES, P.C.
Anesthesiology
2201 HEMPSTEAD TPKE DEPT OF
EAST MEADOW, NY 11554
Nassau County (877) 580-4635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marietta Manlulu's NPI number?

The NPI number for Marietta Manlulu is 1053833574. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Marietta Manlulu located?

Marietta Manlulu practices at 2201 Hempstead Tpke Dept Of, East Meadow, NY 11554. The listed phone number is (516) 572-8831.

What is Marietta Manlulu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marietta Manlulu was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.