Individual
MS. CARMELA CUCCURULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(201) 410-8862
Mailing address
1470 MADISON AVE, NEW YORK, NY 10029-6542
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308694-1
NY
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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