John J Decicco D P M PC

NPI #1346412962 in Plainview, New York

Provider Information

NPI Number
1346412962
Entity Type
Organization
Organization Name
John J Decicco D P M PC
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Mar 25, 2008
Last Updated
Jan 31, 2013

Practice Location

Address
875 OLD COUNTRY RD
Address 2
SUITE 100
ZIP Code
11803-4942
Phone
(516) 681-8866

Authorized Official

Name
JOHN J DECICCO
Title
OWNER
Phone
(516) 681-8866

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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