Provider Demographics
NPI:1750992624
Name:CUCCINIELLO, GIULIANA ROSE (PA)
Entity type:Individual
Prefix:
First Name:GIULIANA
Middle Name:ROSE
Last Name:CUCCINIELLO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 SHORECREST DR
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-5930
Mailing Address - Country:US
Mailing Address - Phone:908-967-1104
Mailing Address - Fax:
Practice Address - Street 1:18 SHORECREST DR
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-5930
Practice Address - Country:US
Practice Address - Phone:908-967-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant