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
Fax: (323) 375-3799
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023192770 NPPES
New York MEDICAID 03017287

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