Individual ProviderMatthew StucchioPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address45 Wycliff Ln, Staten Island, NY 10312-1178(718) 208-8745(718) 819-6800PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Stucchio does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1669849626Provider TypeIndividualFull NameStucchio, MatthewGenderMaleSole ProprietorYesEnumeration Date8/26/2015Last Updated9/3/2021Contact InformationPractice LocationPractice Address45 Wycliff Ln, Staten Island, NY 10312-1178Phone(718) 208-8745FaxUnlisted FaxMailing LocationMailing Address2142 Utopia Pkwy, Whitestone, NY 11357-4142Phone(718) 819-6800Fax(347) 841-9109Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense039167New York