Individual
VITO PUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2489 NEW YORK AVE, MELVILLE, NY 11747
(631) 470-9503
Mailing address
2489 NEW YORK AVE, MELVILLE, NY 11747-1108
(631) 470-9503
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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