Provider Demographics
NPI:1518083229
Name:RUOCCO, CECILLE MARIA (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:CECILLE
Middle Name:MARIA
Last Name:RUOCCO
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 VAN BRUNT ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-3725
Mailing Address - Country:US
Mailing Address - Phone:718-948-0232
Mailing Address - Fax:
Practice Address - Street 1:281 PORT RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-1707
Practice Address - Country:US
Practice Address - Phone:718-442-6006
Practice Address - Fax:718-876-8116
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3985118-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse