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Ms. Tina Puccio, LCSW
Mental Health Counselor in New York, New York
NPI 1114563954

Tina Puccio is a Mental Health Counselor based in New York, NY and is specialized in Mental Health. Tina Puccio practices in New York, NY and has the professional credentials of LCSW. The NPI Number for Tina Puccio is 1114563954 and holds a License No. 086122 (New York).

The current practice location address for Tina Puccio is 299 Broadway Ste 820, New York, NY and can be reached out via phone at 917-538-4909.

Location: 299 Broadway Ste 820, New York, NY, 10007-1974
person
Provider Profile Details
NPI Number
1114563954
Provider Name
Tina Puccio
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
299 Broadway Ste 820, New York, NY, 10007-1974
Phone Number
917-538-4909
Fax Number
Provider Enumeration Date
11/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DZVAN8492035 01 NY EMPIRE BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
299 Broadway Ste 820
City
State
Zip
10007-1974
Phone Number
917-538-4909
Fax Number
person
Provider Business Mailing Address Details
Address
299 Broadway Ste 820
City
State
Zip
10007-1974
Phone Number
917-538-4909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
086122 (New York)
Definition
Definition to come...
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