| Raphael Stuccio, | |
|
156 Corliss Ave, Johnson City, NY 13790-2060 | |
| (607) 763-6735 | |
| Not Available |
| Full Name | Raphael Stuccio |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 156 Corliss Ave, Johnson City, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760810188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 650570-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Chenango Memorial Hospital | Norwich, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Health Services Hospitals, Inc. | 5193610533 | 402 |
| Chenango Memorial Hospital Inc | 7517853633 | 92 |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Entity Name | Chenango Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770593956 PECOS PAC ID: 7517853633 Enrollment ID: O20040225000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Stuccio, 13 Jane Lacey Dr Apt A, Endicott, NY 13760-3723 Ph: (570) 574-4791 | Raphael Stuccio, 156 Corliss Ave, Johnson City, NY 13790-2060 Ph: (607) 763-6735 |
Jacqueline M Havriliak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790 Phone: 607-763-6735 | |
Todd M Kubesh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 57 N Harrison St, Johnson City, NY 13790 Phone: 607-763-6000 | |
Ms. Ling-ling Shih, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790 Phone: 607-763-6735 Fax: 607-763-6736 | |
Louise Parks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave Ste 107, Johnson City, NY 13790 Phone: 607-763-6735 Fax: 607-763-6736 | |
James Marra, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790 Phone: 607-763-6735 | |
Ryan T Pickett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 57 N Harrison St, Johnson City, NY 13790 Phone: 607-763-6000 | |
Adam Scotchlas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave Apt 107, Johnson City, NY 13790 Phone: 607-763-6735 Fax: 607-763-6736 |