Individual
CAMMY DECICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
385 PEARSALL AVE STE 1, CEDARHURST, NY 11516-1800
(516) 371-1818
Mailing address
2064 PACIFIC BLVD, ATLANTIC BEACH, NY 11509-1141
(516) 371-6766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
01/30/2013
Last updated
04/20/2022
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