Individual
MR. ANDREW THOMAS CICCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.-R.
Contact information
Practice address
210 E 21ST ST, SUITE 2E, NEW YORK, NY 10010-7416
(212) 505-6212
Mailing address
210 E 21ST ST, SUITE 2E, NEW YORK, NY 10010-7416
(212) 505-6212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
051923
NY
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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