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1548046261
KRISTEN DECICCO
NEW HYDE PARK, NY
NPI
1548046261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 031416)
Enumeration Date
2023-09-07
Last Update Date
2024-04-18
Business Address
KRISTEN DECICCO
26901 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-3000
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Mailing Address
KRISTEN DECICCO
26901 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 516-448-5499
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