Individual
KRISTIN STICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 304-7387
Mailing address
65 KINGSBURY RD, GARDEN CITY, NY 11530-3141
(516) 279-0081
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
274195
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
274195
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2011
Last updated
11/04/2022
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