Individual
DR. NICOLE CUOCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
240 CLAY PITTS RD, EAST NORTHPORT, NY 11731-3427
(631) 368-8617
Mailing address
240 CLAY PITTS RD, EAST NORTHPORT, NY 11731-3427
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057290-1
NY
Other
Enumeration date
07/14/2011
Last updated
08/25/2014
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