Individual
RALPH JOHN CICCONE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SEAVIEW AVENUE, SUITE 102, STATEN ISLAND, NY 10305
(718) 980-5700
(718) 980-5499
Mailing address
501 SEAVIEW AVENUE, SUITE 102, STATEN ISLAND, NY 10305
(718) 980-5700
(718) 980-5710
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
151919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092963
GHI
—
05
—
01495514
—
NY
01
—
0641956002
CIGNA
—
01
—
151919
HIP
—
01
—
151919C11
HEALTHFIRST
—
01
—
164966
ELDERPLAN
—
01
—
16D921
BLUE CROSS
—
01
—
4C4192
TOUCHSTONE
—
01
—
87226
AETNA
—
01
—
OS118
OXFORD
—
Enumeration date
05/10/2006
Last updated
01/31/2014
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