Individual
MRS. CHRISTINE MARIE FUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.D.N.
Contact information
Practice address
178 MORRISON AVENUE, SUPERIOR CLINICAL CARE PLLC, STATEN ISLAND, NY 10310
(718) 442-3646
Mailing address
93 BURDEN AVE, STATEN ISLAND, NY 10302-1621
(718) 981-8489
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004328
NY
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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