Puccio, Carmelo Anthony

Puccio, Carmelo Anthony is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 2100, Hawthorne NY 10532-2140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Puccio, Carmelo Anthony can be contacted via phone (914) 493-8375.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 2100 Hawthorne NY 10532-2140
Phone: (914) 493-8375
Fax: (914) 347-1832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 145841 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 145841 New York

Profile Details

NPI number 1023070976
LBN Legal business name Puccio, Carmelo Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Oct 14th, 2010 - about 14 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 1023070976 NPPES
New York MEDICAID 01085390

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