Individual
MRS. CICILY R TALERICO-HICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
241 GENESEE ST, UTICA, NY 13501-3401
(315) 272-1606
(315) 272-1780
Mailing address
713 COSBY RD, UTICA, NY 13502-1421
(315) 792-1884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013118-1
NY
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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