Individual
DANIELLE LOCICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
11 RUGBY RD, MASSAPEQUA, NY 11758-5946
(516) 795-4794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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