Individual
VICKI ELIZABETH PASCUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 1/2 S UNION ST, OLEAN, NY 14760-3616
(585) 933-0686
Mailing address
324 1/2 S UNION ST, OLEAN, NY 14760-3616
(585) 933-0686
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
202004265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202004265
BUSINESS LICENSE NUMBER
NY
Enumeration date
06/30/2020
Last updated
06/30/2020
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