Individual
MS. GIANNA CARMELA FUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
111 LIVINGSTON ST, BROOKLYN, NY 11201-5078
(718) 625-4055
Mailing address
22 GREGORY LN, STATEN ISLAND, NY 10314-5984
(917) 797-1314
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
410334101
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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