Most Relevant Information
Provider Data
| NPI Number: | 1003561036 |
| Provider Name: | MICHAEL THOMAS FUCCI DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | X013539 |
Most Important Dates
| Enumeration Date: | 02/17/2022 |
| Last Updated: | 05/18/2022 |
Provider Practice Location
146A MANETTO HILL RD STE 106
PLAINVIEW
NY
118031323
Practice Location Phone/Fax
| Phone: | 5163908770 |
| Fax: |
Provider Mailing Location
90 CEDAR DR W
PLAINVIEW
NY
118032824
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |