Ciccarelli, Ciro A
Ciccarelli, Ciro A is an individual health care provider with primary practice located at 1436 Broadway , Hewlett NY 11557-1405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ciccarelli, Ciro A can be contacted via phone (516) 563-7245.Contact Information
Primary practice address
1436 Broadway
Hewlett NY 11557-1405
Phone: (516) 563-7245
Fax: (516) 563-7295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 175231 | New York |
Profile Details
| NPI number | 1548243579 |
|---|---|
| LBN Legal business name | Ciccarelli, Ciro A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Feb 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548243579 | NPPES |
| New York | MEDICAID | 01091689 |
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