Search › New York › 363AM0700X
Mia Dericco
NPI 1194407999 · on the registry since 2023
Practice
- Address
- 270 E Main St
Bay Shore, NY 11706 - Phone
- (631) 591-7470
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York