Individual
AMANDA PUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 RICHMOND AVENUE, STATEN ISLAND, NY 10312
(718) 608-9170
Mailing address
451 RAMONA AVE, STATEN ISLAND, NY 10309-2434
(718) 772-3384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029148
NY
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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