Individual
MS. MILDRED JEAN BUCCAFUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
420 95TH ST, BROOKLYN, NY 11209-7404
(718) 680-9751
Mailing address
4050 NOSTRAND AVE, APT. 2C, BROOKLYN, NY 11235-2250
(718) 496-8051
(718) 368-2669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001-5161
NY
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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