Individual
COURTNEY A CIESLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
PO BOX 826223, PHILADELPHIA, PA 19182-6223
(616) 464-0027
(770) 237-1723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011274-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02848460
—
NY
Enumeration date
10/13/2006
Last updated
08/22/2017
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