Jaclyn Roseann Cuccinello
Nurse Practitioner - Women's Health
5225 Rte 347 Ste 70
Port Jefferson Station
, New York 11776-2061
Jaclyn Roseann Cuccinello
Nurse Practitioner - Women's Health
5225 Rte 347 Ste 70
Port Jefferson Station
, New York 11776-2061
(631) 474-9169
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jaclyn Roseann Cuccinello
- 5225 Rte 347 Ste 70
- Port Jefferson Station, NY
- Zip : 11776-2061
- Fax : (631) 474-9169
- Phone : (631) 331-8777
Second Address
- Jaclyn Roseann Cuccinello
- 5225 Rte 347 Ste 70
- Port Jefferson Station, NY
- Zip : 11776-2061
- Fax : (631) 474-9169
- Phone : (631) 331-8777
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FAQs
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Is Jaclyn Roseann Cuccinello a sole practitioner?
Is Jaclyn Roseann Cuccinello accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | F421258-1 | NY |
National Provider Identifier
| NPI | 1043476237 |
|---|---|
| Provider Name | Jaclyn Roseann Cuccinello |
| First Address | Port Jefferson Station, NY 11776-2061 |
| Second Address | Port Jefferson Station, NY 11776-2061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2008 |
| Last Update Date | 11/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 565107 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.