Individual
ANTHONY D CICORIA
Active
Individual
ANTHONY D CICORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
174322-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082021
GHI-HMO
—
01
—
0598754
GHI-PPO
—
01
—
10032308
CDPHP
—
01
—
188032
MVP
—
01
—
201344838
EXCELLUS BC/BS
—
Enumeration date
07/24/2006
Last updated
05/15/2009
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