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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F334835 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03017287 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
243 North Rd, Suite 103, Poughkeepsie, NY 12601 | 8454540728 | 8454525807 |
Street Address |
3548 US HIGHWAY 9W |
City | HIGHLAND |
State | NY |
Zip Code | 12528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699372292 | Kate Shults Dammer | Physical Therapist | 280 Rout 299, Suite 1, Highland, NY 12528 | 2020-10-06 |
1477194074 | Natalee R Riley | Licensed Practical Nurse | 6 Commercial Ave Apt C, Highland, NY 12528 | 2019-10-04 |
1982185930 | Giselle Marietta Colaco | Physical Therapist | Wingate At Ulster, One Wingate Way, Highland, NY 12528 | 2018-08-28 |
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 |
1538263868 | Ras Sheth | Internal Medicine | 158 Vineyard Ave, Highland, NY 12528 | 2006-09-08 |
Find all providers in zip 12528 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1124540687 | Marylynn Katherine Barnes | Nurse Practitioner | 3100 45th St Ste 3, Highland, IN 46322-3277 | 2017-07-16 |
1508307471 | Anne Lutostanski | Nurse Practitioner | 2 Keeven Ct, Highland, IL 62249-2403 | 2017-03-13 |
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1962857979 | Iras Miller | Nurse Practitioner | 11255 N 5710 W, Highland, UT 84003-9042 | 2016-04-27 |
1598158180 | Melissa Ann Cox | Nurse Practitioner | 7035 Palm Ave, Highland, CA 92346-3291 | 2015-03-06 |
1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
1447688007 | Raquel Tolentino Magno | Nurse Practitioner | 28308 Summertrail Pl, Highland, CA 92346-6065 | 2013-10-17 |
Find all providers in HIGHLAND |
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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.