Individual
DR. ROBERT JAMES SICURELLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AB.DDS
Contact information
Practice address
157 WICKAPOGUE RD, SOUTHAMPTON, NY 11968-3014
(631) 287-4300
(631) 287-9820
Mailing address
157 WICKAPOGUE RD, SOUTHAMPTON, NY 11968-3014
(631) 287-4300
(631) 287-9820
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
039330
NY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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