# DR. MICHAEL SIMON CUCCI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922449511
- **Gender:** Man
- **Credential:** PHARM.D., RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 058090 | NY | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | I058090 | NY | — |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 08/27/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 058090 | NYS BOARD OF PHARMACY LICENSURE (PHARMACIST) | NY |
| 01 | — | I058090 | NYS BOARD OF PHARMACY LICENSURE (PHARMACIST) | NY |