Individual
ANTOINETTE LOCCISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
56-45 MAIN STREET, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY, FLUSHING, NY 11355
(718) 670-1231
(610) 617-6280
Mailing address
PO BOX 430, C/O EMERGENCY PRACTICE PLAN, FLUSHING, NY 11352
(610) 668-6491
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005102
NY
Other
Enumeration date
07/24/2006
Last updated
04/10/2017
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