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

Kristen Fuccillo

Individual provider Lactation Consultant (Registered Nurse) · NPI 1679298905

Kristen Fuccillo is a Lactation Consultant (Registered Nurse) in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

525 E 68th St
New York, NY 10065-4870
Phone: (212) 749-5166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350520 (NY)
Lactation Consultant (Registered Nurse) Taxonomy 163WL0100X · Licence L318845 (NY)

Record details

NPI number1679298905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2022
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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