| NPI | 1033396106 |
|---|---|
| Former Name | PAULA MARIE FUCCILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 8001827A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 009084) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2016-05-13 |