Individual
CIRO A CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1436 BROADWAY, HEWLETT, NY 11557-1405
(516) 563-7245
(516) 563-7295
Mailing address
1436 BROADWAY, HEWLETT, NY 11557-1405
(516) 563-7245
(516) 563-7295
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
175231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01091689
—
NY
Enumeration date
11/23/2005
Last updated
02/05/2023
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