Individual
CHRISTINE PANUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 WIRELESS BLVD, HAUPPAUGE, NY 11788-3974
(631) 853-7373
Mailing address
236 MOUNT VERNON AVE, MEDFORD, NY 11763-3622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660900-1
NY
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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