Provider Demographics
NPI:1790205334
Name:CUCCHI, NIKI MARIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:NIKI
Middle Name:MARIE
Last Name:CUCCHI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:NIKI
Other - Middle Name:MARIE
Other - Last Name:QUERIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:7 MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4311
Mailing Address - Country:US
Mailing Address - Phone:518-636-5284
Mailing Address - Fax:518-320-7245
Practice Address - Street 1:7 MURRAY ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4311
Practice Address - Country:US
Practice Address - Phone:518-636-5284
Practice Address - Fax:518-320-7245
Is Sole Proprietor?:No
Enumeration Date:2017-06-25
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341878-1207Q00000X
NYF341878-01363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine