Individual
GIOVANNA CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PARROTT RD, WEST NYACK, NY 10994-1025
(917) 574-6304
Mailing address
2937 BAISLEY AVE, GROUND FLOOR, BRONX, NY 10461-9800
(917) 574-6304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0205061
NY
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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