Organization
MMC DIVISION OF GENERAL THORACIC SURGERY F P P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LO CICERO MD (AUTHORIZED OFFICIAL)
(718) 283-8773
Entity
Organization
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8773
Mailing address
GPO 30060, NEW YORK, NY 10087-0060
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
02/13/2013
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