Individual
DR. ALESANDRA DICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(914) 469-9961
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(914) 469-9961
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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