Individual
GINA CARUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0182841
NY
Other
Enumeration date
01/02/2015
Last updated
03/17/2022
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