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Individual

DR. DAVID N CICCONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ORT005682-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00006384
BCBS
NY
01
1407469
UHC
NY
01
595013
MVP
NY
01
7702236
AETNA
NY
Enumeration date
12/22/2005
Last updated
02/10/2025
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