Individual
RENEE PUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1961
(516) 506-9049
Mailing address
3256 WATERBURY DR, WANTAGH, NY 11793-3332
(516) 506-9049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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