Individual
RICHARD BOCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD DPM
Contact information
Practice address
290 EAST MAIN STREET, SUITE 700, SMITHTOWN, NY 11787
(631) 265-6991
(631) 366-3290
Mailing address
290 EAST MAIN STREET, SUITE 700, SMITHTOWN, NY 11787
(631) 265-6991
(631) 366-3290
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1726592
NY
213E00000X
Podiatrist
N0033481
NY
Other
Enumeration date
05/05/2006
Last updated
03/13/2008
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