Individual
MICHAEL F CUCCINIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
25 MONTAUK HWY., QUOGUE, NY 11959-1782
(631) 653-6112
(631) 653-5899
Mailing address
PO BOX 1782, QUOGUE, NY 11959-1782
(631) 653-6112
(631) 653-5899
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
328551-1
NY
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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