Individual
KARA MICUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 MAIN ST, SUITE 206, HUNTINGTON, NY 11743-6917
(516) 220-3625
Mailing address
5 7TH ST, CARLE PLACE, NY 11514-1309
(516) 220-3625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021569
NY
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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