Individual
MRS. PATRICE PERRICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
18 BENT LN, LEVITTOWN, NY 11756-3006
(516) 735-5158
Mailing address
18 BENT LN, LEVITTOWN, NY 11756-3006
(516) 735-5158
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381558
NY
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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