Provider Demographics
NPI:1891570362
Name:PUCCIO, ADRIANA A (MS)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:A
Last Name:PUCCIO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GILEAD RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-3240
Mailing Address - Country:US
Mailing Address - Phone:914-438-7665
Mailing Address - Fax:
Practice Address - Street 1:16 GILEAD RD
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-3240
Practice Address - Country:US
Practice Address - Phone:914-438-7665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist