CARMELO ANTHONY PUCCIO (NPI# 1023070976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023070976 |
| Entity Type | Individual |
| Full Name | CARMELO ANTHONY PUCCIO |
| Credential | M.D. |
| Practice Address |
19 Bradhurst Ave Suite 2100 Hawthorne NY 10532-2140 |
| Mailing Address |
Po Box 69 Hawthorne NY 10532-0069 |
| Practice Telephone | 9144938375 |
| Practice Fax Number | 9143471832 |
| Mailing Telephone | 9144938375 |
| Mailing Fax Number | 9143471832 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2010-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
145841 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
145841 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01085390 | 05 |
| Street Address |
19 BRADHURST AVE SUITE 2100 |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152618 | Martin Cohen | Internal Medicine | 19 Bradhurst Ave, Ste 3850s, Hawthorne, NY 10532-2140 | 2005-05-23 |
| 1194368472 | Susan Eleanora Russo | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2019-10-19 |
| 1326536434 | Amanda Elizabeth Muldoon | Audiologist | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2018-04-24 |
| 1992252662 | Daniela Levin | Physician Assistant | 19 Bradhurst Ave, Ste 3050n, Hawthorne, NY 10532-2140 | 2016-09-09 |
| 1831564616 | Diane Lindsay-adler | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2015-12-05 |
| 1730551755 | Alessandra Marino | Physician Assistant | 19 Bradhurst Ave, Suite 2575, Hawthorne, NY 10532-2140 | 2015-10-29 |
| 1093190043 | Adedoyin Solomon | Nurse Practitioner | 19 Bradhurst Ave, Suite 2300, Hawthorne, NY 10532-2140 | 2015-07-20 |
| 1912396219 | Jaclyn Basso | Nurse Practitioner | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2140 | 2015-01-10 |
| 1073919874 | Jessica Hoffman | Audiologist | 19 Bradhurst Ave, Ste 3600s, Hawthorne, NY 10532-2140 | 2014-11-06 |
| 1841693413 | Amy Sue Habeck | Dietitian, Registered | 19 Bradhurst Ave, Suite 1700, Hawthorne, NY 10532-2140 | 2014-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043327620 | Michael Paul Fanucchi | Internal Medicine | 19 Bradhurst Avenue, Suite 2300, Hawthorne, NY 10523-6007 | 2006-08-23 |
| 1942263330 | Hoo Geun Chun | Internal Medicine | 19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112427 | Health Quest Medical Practice, PC | Internal Medicine | 6511 Spring Brook Ave Ste 1006, Rhinebeck, NY 12572-3709 | 2020-04-05 |
| 1306474226 | Health Quest Medical Practice, PC | Internal Medicine | 1240 Ulster Ave-medical Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1033534268 | Montefiore New Rochelle Hospital | Internal Medicine | 26 Washington Avenue, New Rochelle, NY 10801 | 2014-02-25 |
| 1710327721 | Jarushka Naidoo | Internal Medicine | 475 Main St Apt 2l, Roosevelt Island, New York, NY 10044-0084 | 2013-07-05 |
| 1457617771 | Wungki Park | Internal Medicine | 300 E 66th St Ofc 10065, New York, NY 10065-6800 | 2012-04-11 |
| 1538449392 | Mahendra Manilal Shah | Internal Medicine | 59 Donald Dr, Hastings On Hudson, NY 10706-3623 | 2011-08-25 |
| 1659609931 | Alexei Morozov | Internal Medicine | 1275 York Ave # 8, New York, NY 10065-6007 | 2009-11-25 |
| 1548496326 | Maria J Nieto | Internal Medicine | 1 Gustave L Levy Pl # 1410, New York, NY 10029-6500 | 2009-06-07 |
| 1538307665 | Jerome William Yates | Internal Medicine | 240 Independence Dr, Orchard Park, NY 14127-3430 | 2009-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARMELO ANTHONY PUCCIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.