Individual
ALYSSA MARIA CICCARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3000
Mailing address
162 HOLIDAY LN, HAMBURG, NY 14075-4204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345392
NY
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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