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NPI Code Detail

MEDICARE: RICHARD PICCIONE RPAC

MEDICARE:   RICHARD  PICCIONE  RPAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant002592NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1002592OTHERNYLICENSE

General Provider Information

NPI Number : 1598725665
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD PICCIONE RPAC
Provider Business Mailing Address
First Line : 580 SUNRISE HWY
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-6003
Country : US
Telephone Number : 631-422-9355
Fax Number : 631-669-8763
Provider Business Practice Location Address
First Line : 580 SUNRISE HWY
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-6003
Country : US
Telephone Number : 631-422-9355
Fax Number : 631-669-8763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 03/17/2021

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Directions to “ RICHARD PICCIONE RPAC” Practice Location

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