Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000558 | CT |
NPI | 1073972204 |
---|---|
Provider Name | Dr. Susan Cucchiara |
First Address | Stamford, CT 06905-1616 |
Second Address | Stamford, CT 06905-1616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2016 |
Last Update Date | 16/02/2016 |