Individual provider · Type 1 NPI
Gina Alexandra Pucello, NP
Family Nurse Practitioner · Syracuse, NY
NPI number
1669996070
Active
Practice location
1045 James St Ste 100
Syracuse, NY 13203-2758
Fax (315) 679-5990
Mailing address
1045 James St
Syracuse, NY 13203-2730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F341819 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669996070
Gina Alexandra Pucello, NP's National Provider Identifier is 1669996070, issued on Jul 27, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Apr 2, 2025.