Individual
JAKE DONALD PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 COURT ST, BROOKLYN, NY 11201-5608
(718) 858-7036
Mailing address
121 COURT ST, BROOKLYN, NY 11201-5608
(718) 858-7036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003262
GA
Other
Enumeration date
05/20/2019
Last updated
08/08/2025
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