John J Decicco, D P M PC

NPI #1578535183 in Plainview, New York

Provider Information

NPI Number: 1578535183
Entity Type: Individual
Name: John J Decicco, D P M PC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D P M PC
Enumeration Date: Feb 7, 2006
Last Updated: Dec 11, 2012

Practice Location

Address: 875 OLD COUNTRY RD
City: Plainview
State: New York
ZIP Code: 11803-4966
Phone: (516) 681-8866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

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