Individual
ALFRED ANTHONY CHICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7400
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007250
NY
363AM0700X
Medical Physician Assistant
0072501
NY
Other
Enumeration date
12/23/2005
Last updated
09/26/2016
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