Individual
LORI MICUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 HARRIS RD, #BB3, BEDFORD HILLS, NY 10507-2125
(914) 815-1060
Mailing address
208 HARRIS RD, #BB3, BEDFORD HILLS, NY 10507-2125
(914) 815-1060
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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