person
Mr. James Decicco, OPTICIAN
NPI 1750432399

James Decicco is a Optician based in Huntington Station, NY and is specialized in Optician. James Decicco practices in Huntington Station, NY and has the professional credentials of OPTICIAN. The NPI Number for James Decicco is 1750432399 and holds a License No. 5410 (New York).

The current practice location address for James Decicco is 699A Old Country Rd, Huntington Station, NY and can be reached out via phone at 631-271-3520 and via fax at 631-271-3706.

Location: 699A Old Country Rd, Huntington Station, NY, 11746-4613
person
Provider Profile Details
NPI Number
1750432399
Provider Name
James Decicco
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
699A Old Country Rd, Huntington Station, NY, 11746-4613
Phone Number
631-271-3520
Fax Number
631-271-3706
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00991259 05 NY
institution
Provider Business Practice Location Address Details
Address
699A Old Country Rd
City
State
Zip
11746-4613
Phone Number
631-271-3520
Fax Number
631-271-3706
person
Provider Business Mailing Address Details
Address
699A Old Country Rd
City
State
Zip
11746-4613
Phone Number
631-271-3520
Fax Number
631-271-3706
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
5410 (New York)
Definition
Definition to come...
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