Healthcare Provider Details

I. General information

NPI: 1497051932
Provider Name (Legal Business Name): GERALD NUCCIO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2526 GENESEE ST
UTICA NY
13502-5814
US

IV. Provider business mailing address

2526 GENESEE ST
UTICA NY
13502-5814
US

V. Phone/Fax

Practice location:
  • Phone: 315-292-0200
  • Fax: 315-793-1193
Mailing address:
  • Phone: 315-292-0200
  • Fax: 315-793-1193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX012375-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: