Individual provider · Type 1 NPI

Gina Cacciuttolo

Specialist · Smithtown, NY

NPI number 1407544075 Active

Practice location

22 Dorchester Rd
Smithtown, NY 11787-5406

Call (631) 747-3740 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407544075

Gina Cacciuttolo's National Provider Identifier is 1407544075, issued on May 1, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Smithtown, NY. The record was last updated on May 1, 2023.