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Individual

MISS JEANINE E MUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
70 PLEASANTVIEW DR, CENTRAL ISLIP, NY 11722-4677
(631) 804-5114
Mailing address
133 CHARTER OAKS AVE, BRENTWOOD, NY 11717-5108
(631) 804-5114

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660890
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308296
NY

Other

Enumeration date
03/27/2014
Last updated
02/06/2026
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