Individual provider · Type 1 NPI
Kristen Fuccillo
Family Nurse Practitioner · New York, NY
NPI number
1679298905
Active
Practice location
525 E 68th St
New York, NY 10065-4870
Mailing address
50 E 28th St Apt 14L
New York, NY 10016-7976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L318845 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 350520 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679298905
Kristen Fuccillo's National Provider Identifier is 1679298905, issued on Oct 10, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 29, 2025.