Individual
MRS. JENNIFER NICOLE CUCINOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 VILLAGE ST, HOLBROOK, NY 11741-1731
(631) 648-9519
Mailing address
2 VILLAGE ST, HOLBROOK, NY 11741-1731
(631) 648-9519
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1485834
NY
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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