Healthcare Provider Details

I. General information

NPI: 1225946130
Provider Name (Legal Business Name): KRISTEN A TUCCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

652 W HUDSON ST
LONG BEACH NY
11561-1727
US

IV. Provider business mailing address

3143 LINCOLN AVE
OCEANSIDE NY
11572-3907
US

V. Phone/Fax

Practice location:
  • Phone: 516-670-9000
  • Fax:
Mailing address:
  • Phone: 516-506-9556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberP144500
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: