Agnes Percoco
NPI #1568852150 in Port Jefferson, New York
Provider Information
- NPI Number
- 1568852150
- Entity Type
- Individual
- Name
- Agnes Percoco
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 3, 2015
- Last Updated
- Feb 3, 2015
Practice Location
- Address
- 627 JAYNE BLVD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11776-2947
- Phone
- (631) 331-5218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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