Individual
NAOMI ST CYR PERICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
104 W 40TH ST RM 416, NEW YORK, NY 10018-3617
(212) 369-6757
Mailing address
818 MOTHER GASTON BLVD, BROOKLYN, NY 11212-7040
(718) 938-7413
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404461
NY
Other
Enumeration date
11/15/2022
Last updated
07/13/2023
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