Individual
MRS. CANDICE LEEANN TUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2605 BREWERTON RD, MATTYDALE, NY 13211-1147
(315) 455-9355
(315) 214-5262
Mailing address
2605 BREWERTON RD, MATTYDALE, NY 13211-1147
(315) 455-9355
(315) 214-5262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012445
NY
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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