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Individual

DR. MARIA SHEENNA SICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 372-7902
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 372-7902

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
205761
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01876493
NY
Enumeration date
03/02/2007
Last updated
03/07/2017
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