Individual
CHRISTOPHER COCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210
(315) 470-7411
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
602648-1
NY
363LF0000X
Family Nurse Practitioner
Primary
341827
NY
Other
Enumeration date
12/27/2010
Last updated
07/02/2018
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