Provider Demographics
NPI:1619417508
Name:PASCUTTO, MONICA (RN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:PASCUTTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 S 1ST ST
Mailing Address - Street 2:1A
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-4919
Mailing Address - Country:US
Mailing Address - Phone:516-497-6636
Mailing Address - Fax:
Practice Address - Street 1:304 S 1ST ST
Practice Address - Street 2:1A
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-4919
Practice Address - Country:US
Practice Address - Phone:516-497-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY686267-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool