Individual
MS. SUSANN CUCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2510
Mailing address
34 COMMODORE CIR, PORT JEFFERSON STATION, NY 11776-2258
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
017635-01
NY
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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