Cicero, Paul

Cicero, Paul is an sole proprietor health care provider with primary practice located at 264 Bridgeport Ave , Medford NY 11763-4019. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Cicero, Paul can be contacted via phone (516) 456-1693.

Contact Information

Primary practice address
264 Bridgeport Ave Medford NY 11763-4019
Phone: (516) 456-1693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 002205 New York

Profile Details

NPI number 1245645969
LBN Legal business name Cicero, Paul
Credentials ATC, CES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2014
Last updated Jun 23rd, 2014 - about 10 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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