Individual
SABRINA J TUCCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20 PEACHTREE CT, SUITE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Mailing address
50 WALNUT AVE E, FARMINGDALE, NY 11735-3842
(516) 330-0506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005429-1
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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