Individual
DR. ALEXANDRA CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
27005 76TH AVE BLDG C, NEW HYDE PARK, NY 11040-1402
(718) 470-4557
Mailing address
2 DAISY LN, SMITHTOWN, NY 11787-4807
(631) 339-2324
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
P125984
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/18/2026
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