Search › New York › 363LW0102X
Jaclyn Cuccinello, NP
NPI 1043476237 · on the registry since 2008
Practice
- Address
- 5225 Rte 347 Ste 70
Port Jefferson Station, NY 11776 - Phone
- (631) 331-8777
- Fax
- (631) 474-9169
- Organisation at this address
- Sanroman Fertility Medicine, P.C.
San Roman Fertility Medicine, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York