Individual
CATHERINE KUCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(917) 848-8004
Mailing address
2810 34TH AVE, ASTORIA, NY 11106-3412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013735-1
NY
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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