Most Relevant Information
Provider Data
| NPI Number: | 1003034620 |
| Provider Name: | CHARLES CUCCHIARA M.DIV.,L.C.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 071612 |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
80 E 11TH ST
SUITE 312
NEW YORK
NY
100036811
Practice Location Phone/Fax
| Phone: | 2129796445 |
| Fax: | 2129796445 |
Provider Mailing Location
80 E 11TH ST
SUITE 312
NEW YORK
NY
100036811
Provider Mailing Phone/Fax
| Phone: | 2129796445 |
| Fax: | 2129796445 |