Michelle Lauren Nucci, MSED

Individual provider Active NPI Case Manager/Care Coordinator · Old Bethpage, NY

NPI 1013270958 · NPPES record last updated May 5, 2025

Key facts

NPI
1013270958
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
20 Sarah Dr
Old Bethpage, NY 11804-1614
Phone
(516) 697-5524
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

20 Sarah Dr
Old Bethpage, NY 11804-1614

Mailing address

20 Sarah Drive
Old Bethpage, NY 11804
Phone (516) 697-5524

Other identifiers

IdentifierTypeStateIssuer
490719OtherNYCERTIFICATION NUMBERS

Other providers in Old Bethpage, NY

All providers in Old Bethpage, NY · Case Manager/Care Coordinator in New York

Sources for this page

Verify at the official NPI Registry.