| NPI | 1417549361 |
|---|---|
| Doing Business As | TUCKER GROUP PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DYNA TUCKER Owner 917-459-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2024-01-02 |