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Individual
KRISTIN STICCO
Active
Individual
KRISTIN STICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
274195
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
274195
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/20/2011
Last updated
11/04/2022
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