Cicchino, Dennis B

Cicchino, Dennis B is an individual health care provider with primary practice located at 2 Empire Dr , Rensselaer NY 12144-5730. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cicchino, Dennis B can be contacted via phone (518) 286-4899.

Contact Information

Primary practice address
2 Empire Dr Rensselaer NY 12144-5730
Fax: (518) 286-4859
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000480 New York

Profile Details

NPI number 1245290626
LBN Legal business name Cicchino, Dennis B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated May 9th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245290626 NPPES
New York MEDICAID 01819910

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