Ciccone, Jeffrey Michael

Ciccone, Jeffrey Michael is an sole proprietor health care provider with primary practice located at 333 Earle Ovington Blvd Ste 101 , Uniondale NY 11553-3645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ciccone, Jeffrey Michael can be contacted via phone (162) 402-1625.

Contact Information

Primary practice address
333 Earle Ovington Blvd Ste 101 Uniondale NY 11553-3645
Phone: (162) 402-1625
Fax: (212) 517-4481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 242621 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 242621 New York

Profile Details

NPI number 1700052685
LBN Legal business name Ciccone, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated Mar 7th, 2022 - about 2 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 1700052685 NPPES
New York MEDICAID 03249034

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