Individual provider · Type 1 NPI

Stephanie Nucci Ii, PA

Surgical Physician Assistant · Port Jefferson, NY

NPI number 1629259668 Active

Practice location

635 Belle Terre Rd, Suite #204
Port Jefferson, NY 11777-1935

Fax (631) 474-0224

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X009608 (NY)

Surgical Physician Assistant: Definition to come...

25 other providers at this address

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About NPI 1629259668

Stephanie Nucci Ii, PA's National Provider Identifier is 1629259668, issued on Nov 19, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Port Jefferson, NY. The record was last updated on Feb 1, 2010.