Joanne Decresenzo, MSED

NPI #1003178773 in Staten Island, New York

Provider Information

NPI Number: 1003178773
Entity Type: Individual
Name: Joanne Decresenzo, MSED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MSED
Enumeration Date: Jun 8, 2012
Last Updated: Jun 8, 2012

Practice Location

Address: 89 FREMONT AVE
City: Staten Island
State: New York
ZIP Code: 10306-2433
Phone: (347) 564-6040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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