AGNES PERCOCO

PORT JEFFERSON, NY
NPI1568852150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  144237-1)
Enumeration Date2015-02-03
Last Update Date2015-02-03
Business Address
-- AGNES PERCOCO
627 JAYNE BLVD
PORT JEFFERSON, NY 11776-2947
Phone number: 631-331-5218
Mailing Address
-- AGNES PERCOCO
627 JAYNE BLVD
PORT JEFFERSON STATION, NY 11776-2947
Phone number: 631-331-5218
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