Provider Demographics
NPI:1700257482
Name:FIOCCO, ANN PATRICIA
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:PATRICIA
Last Name:FIOCCO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:PATRICIA
Other - Last Name:LOPIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPECIAL EDUCATION
Mailing Address - Street 1:329 97TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7802
Mailing Address - Country:US
Mailing Address - Phone:917-921-5394
Mailing Address - Fax:
Practice Address - Street 1:420 95TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7404
Practice Address - Country:US
Practice Address - Phone:718-680-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY538576941252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174400000XOtherSPECIALIST