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
Phone: (516) 681-8866
Fax: (516) 681-8890
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578535183 | NPPES |
Other | AS198 | OXFORD | |
MEDICAID | 00416064 | OXFORD |
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