Individual
ANTONIA CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 SHAW RD, MIDDLETOWN, NY 10941-3242
(845) 551-6308
Mailing address
112 SHAW RD, MIDDLETOWN, NY 10941-3242
(845) 551-6308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
07/09/2019
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