Cucchiarelli, Maryanne

Cucchiarelli, Maryanne is an individual health care provider with primary practice located at 79 01 Broadway Room A1-9, Elmhurst NY 11373-1329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Cucchiarelli, Maryanne can be contacted via phone (718) 334-4952.

Contact Information

Primary practice address
79 01 Broadway Room A1-9 Elmhurst NY 11373-1329
Phone: (718) 334-4952
Fax: (718) 334-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 155135 New York

Profile Details

NPI number 1205864048
LBN Legal business name Cucchiarelli, Maryanne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205864048 NPPES
New York MEDICAID 01067270

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