Individual
MRS. STEPHANIE NUCCI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
635 BELLE TERRE RD, SUITE #204, PORT JEFFERSON, NY 11777-1935
(631) 474-0008
(631) 474-0224
Mailing address
635 BELLE TERRE RD, SUITE #204, PORT JEFFERSON, NY 11777-1935
(631) 474-0008
(631) 474-0224
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009608
NY
Other
Enumeration date
11/19/2007
Last updated
02/01/2010
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