Ciccarello, Gerald Vincent
Ciccarello, Gerald Vincent is an sole proprietor health care provider with primary practice located at 2098 Wantagh Ave , Wantagh NY 11793-3914. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ciccarello, Gerald Vincent can be contacted via phone (516) 781-5225.Contact Information
Primary practice address
2098 Wantagh Ave
Wantagh NY 11793-3914
Phone: (516) 781-5225
Fax: (516) 781-9359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 003224 | New York |
Profile Details
| NPI number | 1720086796 |
|---|---|
| LBN Legal business name | Ciccarello, Gerald Vincent |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Dec 10th, 2007 - about 18 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 | 1720086796 | NPPES |
| New York | MEDICAID | 00685516 |
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