Individual
NICOLE CUCCURULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
230 HOFSTRA UNIVERSITY, HEMPSTEAD, NY 11549-2300
(516) 463-6085
Mailing address
7 GORHAM LN, SMITHTOWN, NY 11787-4701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002396
NY
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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