Individual
RAPHAEL STUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 CORLISS AVE, JOHNSON CITY, NY 13790-2060
(607) 763-6735
Mailing address
13 JANE LACEY DR APT A, ENDICOTT, NY 13760-3723
(570) 574-4791
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
650570-1
NY
Other
Enumeration date
10/22/2013
Last updated
10/23/2013
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