Cucci, Michael Simon

Cucci, Michael Simon is an sole proprietor health care provider with primary practice located at 50 Route 25A St Catherine Of Siena Medical Center - Dept Of Pharmacy, Smithtown NY 11787-1348. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Cucci, Michael Simon can be contacted via phone (631) 862-3020.

Contact Information

Primary practice address
50 Route 25A St Catherine Of Siena Medical Center - Dept Of Pharmacy Smithtown NY 11787-1348
Phone: (631) 862-3020
Fax: (631) 862-3732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X I058090 New York
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 058090 New York

Profile Details

NPI number 1922449511
LBN Legal business name Cucci, Michael Simon
Credentials PHARM.D., RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2013
Last updated Aug 27th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922449511 NPPES
New York Other 058090 NYS BOARD OF PHARMACY LICENSURE (PHARMACIST)
New York Other I058090 NYS BOARD OF PHARMACY LICENSURE (PHARMACIST)

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