Individual
LAWRENCE D CUOCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3720 74TH ST, JACKSON HEIGHTS, NY 11372-6338
(718) 426-6222
Mailing address
3720 74TH ST, JACKSON HEIGHTS, NY 11372-6338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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