Individual
KRISTEN IRENE LO SICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5244
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5244
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
279864
NY
Other
Enumeration date
06/10/2009
Last updated
11/06/2020
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