# CORNERSTONE PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356823173
- **Authorized official:** KIMBERLY CICCERO DPM (OWNER)
- **Authorized official phone:** (216) 731-3370

## Contact information

- **Practice address:** 29127 EUCLID AVE, WICKLIFFE, OH 44092-2467
- **Practice address phone:** (216) 731-3370
- **Mailing address:** 29127 EUCLID AVE, WICKLIFFE, OH 44092-2467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2018
- **Last updated:** 02/13/2024