Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Cacciuttolo

Individual provider Specialist · NPI 1407544075

Gina Cacciuttolo is a Specialist in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

22 Dorchester Rd
Smithtown, NY 11787-5406
Phone: (631) 747-3740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1407544075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address22 Dorchester Rd, Smithtown, NY 11787-5406

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