Organization
JOSEPH F PUCCIO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH F PUCCIO DDS (PRESIDENT)
(607) 722-8087
Entity
Organization
Contact information
Practice address
68 OAK STREET, SUITE 3, BINGHAMTON, NY 13905-4625
(607) 722-8087
Mailing address
68 OAK STREET, SUITE 3, BINGHAMTON, NY 13905-4625
(607) 722-8087
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00728721
—
NY
Enumeration date
05/04/2007
Last updated
08/22/2020
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