Individual
DR. JOSEPH C CICENIA III
Active
Individual
DR. JOSEPH C CICENIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
217694
NY
207RP1001X
Pulmonary Disease Physician
Primary
35.096266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02094631
—
NY
01
—
217694
STATE MEDICAL LICENCE #
NY
01
—
35.096266
OHIO MEDICAL LICENSE
OH
Enumeration date
01/26/2007
Last updated
03/07/2023
Update your record
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