GINA NICOLE DERICCO

RIVERHEAD, NY
NPI1588287312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NY  TUV009244-01)
Enumeration Date2020-05-27
Last Update Date2020-10-23
Business Address
Dr. GINA NICOLE DERICCO OD
887 OLD COUNTRY RD
RIVERHEAD, NY 11901-2115
Phone number: 631-727-2858
Mailing Address
Dr. GINA NICOLE DERICCO OD
39 WOODLAND DR
SMITHTOWN, NY 11787-1847
Phone number: 631-848-1847