Decicco, John J

Decicco, John J is an sole proprietor health care provider with primary practice located at 875 Old Country Rd , Plainview NY 11803-4966. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Decicco, John J can be contacted via phone (516) 681-8866.

Contact Information

Primary practice address
875 Old Country Rd Plainview NY 11803-4966
Fax: (516) 681-8890
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N0030071 New York

Profile Details

NPI number 1578535183
LBN Legal business name Decicco, John J
Credentials D P M PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Dec 11th, 2012 - about 13 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 1578535183 NPPES
Other AS198 OXFORD
MEDICAID 00416064 OXFORD

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