Pucci, Susan A
Pucci, Susan A is an sole proprietor health care provider with primary practice located at 337 Maple Ave , New Windsor NY 12553-5814. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Pucci, Susan A can be contacted via phone (845) 496-2529.Contact Information
Primary practice address
337 Maple Ave
New Windsor NY 12553-5814
Phone: (845) 496-2529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 376938-1 | New York |
Profile Details
| NPI number | 1700078193 |
|---|---|
| LBN Legal business name | Pucci, Susan A |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Aug 9th, 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 | 1700078193 | NPPES |
| New York | MEDICAID | 02005883 |
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