Individual
ALBERT J. CIANCIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 COURT ST, BROOKLYN, NY 11231-4335
(718) 855-1543
Mailing address
335 COURT ST, BROOKLYN, NY 11231-4335
(718) 855-1543
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
129362
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00249692
—
NY
01
—
0097952
GHI
NY
01
—
321422
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/01/2006
Last updated
10/31/2007
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