Jennifer Nicole Cucinotta
Early Intervention Provider Agency in Holbrook, NY. Individual provider (NPI-1).
NPI number1104355239
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1104355239
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Nicole Cucinotta
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 1485834 | NY | Yes |
Practice location
2 Village StHolbrook, NY 11741-1731
Phone 631-648-9519
Mailing address
2 Village StHolbrook, NY 11741-1731
Phone 631-648-9519
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