Individual provider · Type 1 NPI

Joseph M. Carrucciu, MD

Diagnostic Radiology Physician · Port Jefferson, NY

NPI number 1063424828 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Fax (631) 473-1320

Mailing address

625 Belle Terre Rd, Suite 100
Port Jefferson, NY 11777-2316

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X158313 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1063424828

Joseph M. Carrucciu, MD's National Provider Identifier is 1063424828, issued on Aug 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 17, 2007.