Individual
CELINA CICCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(631) 266-4409
Mailing address
12 LINDA RD, PORT WASHINGTON, NY 11050-2817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
675970
NY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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