Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN ROSEANN CUCCINELLO, NP
ActiveJACLYN ROSEANN CUCCINELLO, NP is a Women's Health Nurse Practitioner healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1043476237 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1043476237
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2008 (18.034713768103 yrs)
- Last Updated
- Jul 11, 2019
- Licenses
-
565107 (NY)F421258-1 (NY)
Practice Information
- Address
-
5225 RTE 347 STE 70PORT JEFFERSON STATION, NY, 117762061Browse NY providers · Browse ZIP 11776
- Phone
- 6313318777
- Fax
- 6314749169
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Women's Health Nurse Practitioner
Other Women's Health Nurse Practitioner Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MS. JACQUELINE PANDOLFI | N.P. | 1225197866 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.