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NPI Profile for JAMES DECICCO in HUNTINGTON STATION, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1750432399 |
|
| Status | Active | |
| Credentials | OPTICIAN | |
| Entity | Individual | |
| Enumeration date | 01/12/2007 | |
| Last updated | 09/02/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JAMES DECICCO
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