Provider Demographics
NPI:1558599753
Name:BUCCI, GUY C (DC)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:C
Last Name:BUCCI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BRILLIANT AVE
Mailing Address - Street 2:STE. 202B
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3137
Mailing Address - Country:US
Mailing Address - Phone:412-252-2500
Mailing Address - Fax:
Practice Address - Street 1:17 BRILLIANT AVE
Practice Address - Street 2:STE. 202B
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3137
Practice Address - Country:US
Practice Address - Phone:412-252-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor