Tucci, Kyle L

Tucci, Kyle L is an individual health care provider with primary practice located at 510 Towne Dr , Fayetteville NY 13066-1331. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tucci, Kyle L can be contacted via phone (315) 663-0500.

Contact Information

Primary practice address
510 Towne Dr Fayetteville NY 13066-1331
Phone: (315) 663-0500
Fax: (315) 663-0514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 577950 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F337978 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN306408 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 005898 Georgia

Profile Details

NPI number 1063850485
LBN Legal business name Tucci, Kyle L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2013
Last updated Mar 1st, 2022 - about 2 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 1063850485 NPPES
New York MEDICAID 03619789

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