DR. Gina Nicole Dericco, OD

NPI #1588287312 in Wantagh, New York

Provider Information

NPI Number: 1588287312
Entity Type: Individual
Name: DR. Gina Nicole Dericco, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 27, 2020
Last Updated: Jun 25, 2025

Practice Location

Address: 2185 WANTAGH AVE
City: Wantagh
State: New York
ZIP Code: 11793-3917
Phone: (516) 785-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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