Individual
MS. JOAN MARIE MICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-2850
Mailing address
6 SPUR WAY, POUGHKEEPSIE, NY 12603-5523
(845) 485-7511
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
490101-1
NY
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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