Individual
MARY CUCINELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
21 SPARKILL AVE, TAPPAN, NY 10983-2208
(845) 365-6674
Mailing address
21 SPARKILL AVE, TAPPAN, NY 10983
(845) 365-6674
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
366090-1
NY
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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