Provider Demographics
NPI:1235858770
Name:JOHN ANTHONY PICA DCPC
Entity Type:Organization
Organization Name:JOHN ANTHONY PICA DCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PICA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-645-2200
Mailing Address - Street 1:11 SETON LN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-4128
Mailing Address - Country:US
Mailing Address - Phone:914-645-2200
Mailing Address - Fax:
Practice Address - Street 1:11 SETON LN
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-4128
Practice Address - Country:US
Practice Address - Phone:914-645-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency