Individual
DR. SHAWN CHRISTOPHER CIECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TELEPORT DR STE 200, STATEN ISLAND, NY 10311-1000
(718) 370-0072
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
252139
NY
Other
Enumeration date
04/27/2008
Last updated
04/02/2019
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