Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Mazzullo, CRPA

Individual provider Peer Specialist · NPI 1376361907

Nicole Mazzullo, CRPA is a Peer Specialist in Wappingers Falls, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

942 Route 376 Ste 201-204
Wappingers Falls, NY 12590-6483
Phone: (845) 765-2366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CRPA-6007 (NY)

Record details

NPI number1376361907
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRPA
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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