Individual
CHARLES STICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 764-5455
(516) 678-0631
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 764-5455
(516) 678-0631
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
258397
NY
Other
Enumeration date
07/07/2010
Last updated
05/06/2016
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