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1194432450
CHRISTINA A DECICCO
STATEN ISLAND, NY
NPI
1194432450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f350702)
Enumeration Date
2022-11-04
Last Update Date
2022-11-04
Business Address
Mrs. CHRISTINA A DECICCO FNP-C
1112 SOUTH AVE
STATEN ISLAND, NY 10314-3410
Phone number: 718-761-8800
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Mailing Address
Mrs. CHRISTINA A DECICCO FNP-C
41 WASHINGTON AVE
SOUTH AMBOY, NJ 08879-2424
Phone number: 347-263-6406
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