Miccuci, Laura Jane

Miccuci, Laura Jane is an sole proprietor health care provider with primary practice located at 1963 Routes 5 & 20 , Waterloo NY 13165. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Miccuci, Laura Jane can be contacted via phone (315) 539-5056.

Contact Information

Primary practice address
1963 Routes 5 & 20 Waterloo NY 13165
Phone: (315) 539-5056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 037336 New York

Profile Details

NPI number 1336476753
LBN Legal business name Miccuci, Laura Jane
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2009
Last updated Mar 31st, 2010 - about 15 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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