Individual
MRS. CHRISTINA A DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1112 SOUTH AVE, STATEN ISLAND, NY 10314-3410
(718) 761-8800
Mailing address
41 WASHINGTON AVE, SOUTH AMBOY, NJ 08879-2424
(347) 263-6406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F350702
NY
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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