Pucino, Tami L
Pucino, Tami L is an individual health care provider with primary practice located at 3548 Us Highway 9W , Highland NY 12528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pucino, Tami L can be contacted via phone (845) 541-9840.Contact Information
Primary practice address
3548 Us Highway 9W
Highland NY 12528
Phone: (845) 541-9840
Fax: (323) 375-3799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F334835 | New York |
Profile Details
| NPI number | 1023192770 |
|---|---|
| LBN Legal business name | Pucino, Tami L |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Nov 5th, 2019 - about 5 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 | 1023192770 | NPPES |
| New York | MEDICAID | 03017287 |
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