MRS. Stephanie Decicco

NPI #1386098739 in Hewlett, New York

Provider Information

NPI Number: 1386098739
Entity Type: Individual
Name: MRS. Stephanie Decicco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Apr 21, 2016
Last Updated: Apr 21, 2016

Practice Location

Address: 323 HEWLETT PKWY
City: Hewlett
State: New York
ZIP Code: 11557-1201
Phone: (516) 445-6409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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