Individual
NANCY CICCIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 WOOD RD, BALLSTON SPA, NY 12020-2246
(518) 884-7270
(518) 884-7268
Mailing address
70 MALTA AVE, BALLSTON SPA, NY 12020-1529
(518) 884-7195
(518) 884-7101
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
368588
NY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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