Kristi Antionette Lucchesi | Staten Island, NY • PECOS Search

Kristi Antionette Lucchesi

Counselor

Behavioral Health & Social Service Providers

962 Manor Rd, Staten Island, NY 10314-7041

(718) 982-5944 (718) 702-8951

PECOS Enrollment

Based on the most recent information from CMS, provider Kristi Antionette Lucchesi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1396395422
Provider Type
Individual
Full Name
Lucchesi, Kristi Antionette
Gender
Female

Sole Proprietor
No
Enumeration Date
9/20/2019
Last Updated
9/20/2019

Contact Information

Practice Location

962 Manor Rd, Staten Island, NY 10314-7041

Unlisted Fax

Mailing Location

1007 Annadale Rd, Staten Island, NY 10312-4034

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 009461 New York