Provider Demographics
NPI:1932328150
Name:CUCCI, JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:CUCCI
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 1:131 E 61ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8115
Mailing Address - Country:US
Mailing Address - Phone:212-980-9332
Mailing Address - Fax:212-753-7968
Practice Address - Street 1:131 E 61ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8115
Practice Address - Country:US
Practice Address - Phone:212-980-9332
Practice Address - Fax:212-750-7968
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009952-1111N00000X
NJ38MC00577800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX1S761Medicare ID - Type UnspecifiedMEDICARE #