Individual
CORTNEY PAIGE KUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
4 LEONARD DR, EAST ROCKAWAY, NY 11518-1609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021625-1
NY
363A00000X
Physician Assistant
Primary
021625
NY
Other
Enumeration date
11/14/2017
Last updated
08/19/2022
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