Provider Demographics
NPI:1952545543
Name:UCCI, STACY JO (PT)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:JO
Last Name:UCCI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:STACY
Other - Middle Name:JO
Other - Last Name:UCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3535 HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1293
Mailing Address - Country:US
Mailing Address - Phone:914-962-2728
Mailing Address - Fax:
Practice Address - Street 1:3535 HILL BLVD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1293
Practice Address - Country:US
Practice Address - Phone:914-962-2728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008591-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist