# DICICCO DENTAL STUDIO, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861974255
- **Authorized official:** DR. ALESANDRA HOPE DICICCO DDS (DENTIST)
- **Authorized official phone:** (914) 741-1296

## Contact information

- **Practice address:** 677 COMMERCE ST STE 100, THORNWOOD, NY 10594-1060
- **Practice address phone:** (914) 741-1296
- **Mailing address:** 677 COMMERCE ST STE 100, THORNWOOD, NY 10594-1060
- **Mailing address phone:** (914) 741-1296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 059856 | NY | Yes |

## Other

- **Enumeration date:** 08/31/2018
- **Last updated:** 08/31/2018
