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Individual

ERICA TAYLOR SOCCORSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
290 S WELLWOOD AVE, LINDENHURST, NY 11757-4903
(631) 225-2999
Mailing address
290 S WELLWOOD AVE, LINDENHURST, NY 11757-4903
(516) 317-9551

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033132-01
NY

Other

Enumeration date
01/20/2025
Last updated
02/13/2025
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