| Doctor Name: | JOSEPH M CARRUCCIU |
| NPI Number: | 1063424828 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 158313 |
| Business Practice Address: | 75 N Country Rd Port Jefferson, NY - 117772119 |
| Business Phone Number: | 6314731320 |
| Business Fax Number: | 6314731320 |
| Mailing Address: | 625 Belle Terre Rd, Suite 100 PORT JEFFERSON |
| State: | NY |
| Postal Code: | 117772316 |
| Phone Number: | 6314731320 |
| Fax Number: | 6316867626 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 08/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 158313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |