| Doctor Name: | MRS. TAMI L PUCINO |
| NPI Number: | 1023192770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | F334835 |
| Business Practice Address: | 246 Main St New Paltz, NY - 125611608 |
| Business Phone Number: | 8452557200 |
| Business Fax Number: | 8452557201 |
| Mailing Address: | 68 South Service Road, Suite 350 MELVILLE |
| State: | NY |
| Postal Code: | 11747 |
| Phone Number: | 5169453000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 02/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F334835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |