John J Decicco in Plainview - Podiatrist

John J Decicco - NPI 1578535183

John J Decicco is a Podiatrist in Plainview, New York. John J Decicco practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for John J Decicco is 1578535183. The last update date is 2012-12-11.

John J Decicco's current location address is 875 Old Country Rd, Plainview, New York. You can contact this provider via phone number 5166818866 and fax number 5166818890. The mailing address for John J Decicco is 875 Old Country Rd, Plainview, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John J Decicco
Address 875 Old Country Rd, Plainview, New York
Phone Number 5166818866
Fax Number 5166818890
Sole Proprietor Y
Credentials D P M PC

NPI Number Detail

NPI Number 1578535183
Provider Enumeration Date 2006-02-07
Last Updated Date 2012-12-11

Provider Mailing Address Detail

Address 875 Old Country Rd
City Plainview
State New York (NY)
Post Code 118034966
Phone Number 5166818866
Fax Number 5166818890

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No N0030071
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AS198 OXFORD
416064 NY --

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FAQs about John J Decicco

What is the John J Decicco's 1578535183?

The John J Decicco's NPI (National Provider Identifier) Number is 1578535183. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John J Decicco?

The John J Decicco is physically situated at 875 Old Country Rd, in the city of Plainview, state of NY, with the postal code 118034966.

What is the area of specialization for John J Decicco, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John J Decicco is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1578535183 to John J Decicco?

The John J Decicco received its 1578535183 assignment from the Centers for Medicare & Medicaid Services on 2006-02-07.

As of what date were the details pertaining to John J Decicco last refreshed?

The information related to the John J Decicco, including its address, specialty, and other relevant details, was last updated on 2012-12-11.

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