Provider Demographics
NPI:1215194568
Name:KUCINE, NICOLE E (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:E
Last Name:KUCINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:PAYSON-695
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-3400
Mailing Address - Fax:212-746-8609
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:PAYSON-695
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3400
Practice Address - Fax:212-746-8609
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2432932080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology