Provider Demographics
NPI:1477528107
Name:TUCCI, JAMES J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:TUCCI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:170 WILLIAM ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2612
Mailing Address - Country:US
Mailing Address - Phone:212-312-5949
Mailing Address - Fax:212-312-5481
Practice Address - Street 1:170 WILLIAM ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2612
Practice Address - Country:US
Practice Address - Phone:212-312-5949
Practice Address - Fax:212-312-5481
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2011-04-15
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Provider Licenses
StateLicense IDTaxonomies
NY1588632080S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00941424Medicaid
NY02E592Medicare ID - Type UnspecifiedMEDICARE NUMBER
NY00941424Medicaid