Decicco, Kristen
Decicco, Kristen is an individual health care provider with primary practice located at 26901 76Th Ave , New Hyde Park NY 11040-1433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Decicco, Kristen can be contacted via phone (718) 470-3000.Contact Information
Primary practice address
26901 76Th Ave
New Hyde Park NY 11040-1433
Phone: (718) 470-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 031416 | New York |
Profile Details
| NPI number | 1548046261 |
|---|---|
| LBN Legal business name | Decicco, Kristen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2023 |
| Last updated | Apr 18th, 2024 - about 2 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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