MRS. TAMI L PUCINO


Address: 3548 Us Highway 9w, Highland, NY 12528
Phone: 8455419840

MRS. TAMI L PUCINO (NPI# 1023192770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023192770
Entity Type Individual
Full Name MRS. TAMI L PUCINO
Other Name TAMI L BERGMAN
Credential NP-C
Practice Address 3548 Us Highway 9w
Highland
NY 12528
Mailing Address 3548 Us Highway 9w
Highland
NY 12528-1700
Practice Telephone 8455419840
Practice Fax Number 3233753799
Mailing Telephone 8455419840
Mailing Fax Number 3233753799
Enumeration Date 2006-10-25
Last Update Date 2019-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F334835 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03017287 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
243 North Rd, Suite 103, Poughkeepsie, NY 12601 8454540728 8454525807

Office Location

Street Address 3548 US HIGHWAY 9W
City HIGHLAND
State NY
Zip Code 12528

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1083085237 Alyssa D'alto Speech-Language Pathologist 16 Lockhart Lane, Highland, NY 12528 2015-10-14
1689071953 Althea P. Milton Social Worker 15 Oak Crest Drive, Highland, NY 12528 2014-12-02
1295079267 Colleen P. Mcguigan Licensed Practical Nurse 3 Cusa Dr, Highland, NY 12528 2012-11-15
1982984068 Elizabeth Anne Troicke Licensed Practical Nurse 500 Rt 299, Unite 22c, Highland, NY 12528 2011-08-22
1801055272 Kenneth David Schappe Massage Therapist 280 State Route 299, Suite #2, Highland, NY 12528 2008-06-02
1780758870 Michele Kee Goldman Nurse Practitioner 514 Route 299, Highland, NY 12528 2006-11-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City HIGHLAND
Zip Code 12528

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Dataset Information

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.

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