Doctor Name: | BETH A MUCCI |
NPI Number: | 1538412259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | F337339-1 |
Business Practice Address: | 279 East Ave Hilton, NY - 144681333 |
Business Phone Number: | 5853929100 |
Business Fax Number: | 5853926292 |
Mailing Address: | 48 Fraser Dr, HILTON |
State: | NY |
Postal Code: | 144681321 |
Phone Number: | 5853925763 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F337339-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |