Provider Demographics
NPI:1194171488
Name:CUCINO, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CUCINO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BALTIC PL APT 3U
Mailing Address - Street 2:3U
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1608
Mailing Address - Country:US
Mailing Address - Phone:914-271-9379
Mailing Address - Fax:
Practice Address - Street 1:22 BALTIC PL APT 3U
Practice Address - Street 2:3U
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1608
Practice Address - Country:US
Practice Address - Phone:914-271-9379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY130981-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse