Decicco, James

Decicco, James is an individual health care provider with primary practice located at 699A Old Country Rd , Huntington Station NY 11746-4613. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Decicco, James can be contacted via phone (631) 271-3520.

Contact Information

Primary practice address
699A Old Country Rd Huntington Station NY 11746-4613
Phone: (631) 271-3520
Fax: (631) 271-3706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 5410 New York

Profile Details

NPI number 1750432399
LBN Legal business name Decicco, James
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Sep 2nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750432399 NPPES
New York MEDICAID 00991259

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