Individual
PHYLISS A MARTOCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
775 PARK AVE, SUITE 101, HUNTINGTON, NY 11743-3976
(631) 427-1100
Mailing address
775 PARK AVE, SUITE 101, HUNTINGTON, NY 11743-3976
(631) 427-1100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401327-1
NY
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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