Individual
ALAN KICEINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
46 ABBOTT AVE, MASTIC, NY 11950-1533
(631) 281-4599
Mailing address
46 ABBOTT AVE, MASTIC, NY 11950-1533
(631) 281-4599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
646713
NY
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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