Individual
KATHRYN CICCOLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-6756
Mailing address
150 E 42ND ST FL 10, NEW YORK, NY 10017-5626
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431160-1
NY
Other
Enumeration date
01/19/2018
Last updated
10/22/2018
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