Individual provider · NPI-1

Dr. Vita Mia Cucchiara

Family Medicine · Mineola, NY

NPI number1346401205
StatusActive
Last updated in NPPESNov 27, 2013

Details

NPI
1346401205
Entity type
Individual (NPI-1)
Name
Dr. Vita Mia Cucchiara
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 23, 2008
Last updated
Nov 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine258444NYYes

Practice location

300 Old Country Rd
Suite 211
Mineola, NY 11501-4198

Phone 516-280-2599 · Fax 516-280-2597

Mailing address

300 Old Country Rd
Suite 211
Mineola, NY 11501-4198

Phone 516-280-2599 · Fax 516-280-2597

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