Puccio, Mary
Puccio, Mary is an individual health care provider with primary practice located at 24 E Main St , Bay Shore NY 11706-8301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Puccio, Mary can be contacted via phone (631) 666-6752.Contact Information
Primary practice address
24 E Main St
Bay Shore NY 11706-8301
Phone: (631) 666-6752
Fax: (631) 666-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 193399 | New York |
Profile Details
| NPI number | 1346223138 |
|---|---|
| LBN Legal business name | Puccio, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Dec 9th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346223138 | NPPES |
| New York | MEDICAID | 01753891 |
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