Individual
KATHERINE JANE PICCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6920
(212) 639-4030
Mailing address
6 SCHINDLER CT, BOONTON, NJ 07005-8811
(212) 639-6920
(212) 639-4030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331450-1
NY
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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