Individual
MRS. CHRISTINE K PERCOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
60 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3683
(516) 227-8688
Mailing address
60 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3683
(516) 227-8688
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
035791-1
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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