Ms. Tina Puccio
Counselor (Mental Health)

Address: 299 Broadway Ste 820, New York, NY 10007-1974
Phone: 9175384909

Ms. Tina Puccio (NPI# 1114563954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114563954
Entity Type Individual
Full Name Ms. Tina Puccio
Credential LCSW
Gender Female
Practice Address 299 Broadway Ste 820
New York
NY 10007-1974
Practice Telephone 9175384909
Mailing Address 299 Broadway Ste 820
New York
NY 10007-1974
Mailing Telephone 9175384909
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-11-26
Last Update Date 2019-11-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers 086122 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY DZVAN8492035 OTHER EMPIRE BLUE CROSS BLUE SHIELD

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 299 BROADWAY STE 820
City NEW YORK
State NY
Zip Code 10007-1974

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265814115 Keven Duffy Social Worker 299 Broadway Ste 820, New York, NY 10007-1974 2015-06-26
1588283121 Allison Rigsbee Keele Marriage & Family Therapist 299 Broadway Ste 820, New York, NY 10007-1974 2020-04-14

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NPI Name Taxonomy Address Enumeration
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1114434842 Sangyoon Kim Physical Therapist 30 Vesey St Rm 1803, New York, NY 10007 2018-01-03
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1255787743 Highline Orthopaedics Orthopaedic Surgery 16 Park Place, New York, NY 10007 2016-05-13
1255786331 Park Place Podiatry Pllc Podiatrist 291 Broadway Ste 810, New York, NY 10007 2016-04-26
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1760723191 Mekhla Varma Pediatrics 15 Warren St, New York, NY 10007 2013-03-11
1023368545 Karen Leung Nurse Practitioner 281 Broadway Fl 2, New York, NY 10007 2012-09-12
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Competitor

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City NEW YORK
Zip Code 10007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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