Provider Demographics
NPI:1194973842
Name:PICONE, PATSY A (VMD)
Entity type:Individual
Prefix:DR
First Name:PATSY
Middle Name:A
Last Name:PICONE
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1356
Mailing Address - Country:US
Mailing Address - Phone:856-547-7256
Mailing Address - Fax:856-547-0120
Practice Address - Street 1:247 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1356
Practice Address - Country:US
Practice Address - Phone:856-547-7256
Practice Address - Fax:856-547-0120
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-07
Last Update Date:2008-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100197200174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian