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Individual

MRS. PATRICIA PICCOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
392 SEGUINE AVE, STATEN ISLAND, NY 10309-3906
(718) 226-2808
(271) 822-6292
Mailing address
392 SEGUINE AVE, STATEN ISLAND, NY 10309-3906
(718) 226-2808
(271) 822-6292

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
334149
NY

Other

Enumeration date
12/16/2011
Last updated
12/16/2011
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