Carrucciu, Joseph M
Carrucciu, Joseph M is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Carrucciu, Joseph M can be contacted via phone (631) 473-1320.Contact Information
Primary practice address
75 N Country Rd
Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 473-1320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 158313 | New York |
Profile Details
| NPI number | 1063424828 |
|---|---|
| LBN Legal business name | Carrucciu, Joseph M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Aug 17th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063424828 | NPPES |
| New York | MEDICAID | 01018148 |
Popular Providers
-
Prince, Donna
2799 W Grand Blvd , Detroit MI 48202-2608 -
Hamilton, Murray O
11995 Singletree Ln Ste 500 , Eden Prairie MN 55344-5349 -
Reddy, Arthi
75 N Country Rd , Port Jefferson NY 11777-2119 -
Patel, Saurabh
75 N Country Rd , Port Jefferson NY 11777-2119 -
Lien, Kenny
75 N Country Road , Port Jefferson NY 11777 -
Dunkin, Jared Michael
1500 Route 112 Bldg 2 , Port Jefferson Station NY 11776-8055 -
Coben, Marcie L
12700 Park Central Dr Ste 430, Dallas TX 75251-1527 -
Price, Michelle P
75 N Country Rd , Port Jefferson NY 11777-2119