Anthony Francis Micucci | Medford, NY • PECOS Search

Anthony Francis Micucci

Chiropractor

Chiropractic Providers

170 Kettles Ln, Medford, NY 11763-1552

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony Francis Micucci 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 4 days ago.

Profile Details

Provider ID
1992981450
Provider Type
Individual
Full Name
Micucci, Anthony Francis
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/15/2008
Last Updated
1/15/2008

Contact Information

Practice Location

170 Kettles Ln, Medford, NY 11763-1552

Unlisted Fax

Mailing Location

170 Kettles Ln, Medford, NY 11763-1552

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License X006790-1 New York