Individual
DR. FREDERICK WILLIAM CICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
691 EAST MAIN STREET, JEFFERSON VALLEY, NY 10535
(914) 245-6924
Mailing address
768 EAST MAIN STREET, SHRUB OAK, NY 10588
(914) 245-6924
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2938
NY
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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