Individual
DR. GINA NICOLE DERICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2185 WANTAGH AVE, WANTAGH, NY 11793-3917
(516) 785-3900
(516) 541-4250
Mailing address
2185 WANTAGH AVE, WANTAGH, NY 11793-3917
(516) 785-3900
(516) 541-4250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009244-01
NY
Other
Enumeration date
05/27/2020
Last updated
06/25/2025
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