Individual
JENNIFER PASCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
218 BAYVILLE AVE, BAYVILLE, NY 11709-1653
(516) 456-4749
(516) 456-4749
Mailing address
218 BAYVILLE AVE, BAYVILLE, NY 11709-1653
(516) 456-4749
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
541316-1
NY
Other
Enumeration date
10/15/2017
Last updated
10/15/2017
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