Individual
KRISTIN ANN CICALESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4444
Mailing address
12 MATINECOCK AVE, EAST ISLIP, NY 11730-2617
(631) 664-5089
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
03/06/2018
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