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1396442190
ANTONIETTA DICICCO
EAST SETAUKET, NY
NPI
1396442190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F351108-01)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
ANTONIETTA DICICCO NP
12 STONY WOOD RD
EAST SETAUKET, NY 11733-1839
Phone number: 516-424-7474
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Mailing Address
ANTONIETTA DICICCO NP
12 STONY WOOD RD
EAST SETAUKET, NY 11733-1839
Phone number: 516-424-7474
Copy
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