Individual
BRIAN CUCCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 669-2106
Mailing address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 669-2106
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
73075196
NY
Other
Enumeration date
12/01/2015
Last updated
10/06/2025
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