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Individual

DR. JOSEPH CICCONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
107 COLUMBIA HTS APT 1C, BROOKLYN, NY 11201-7326
(718) 858-6565
Mailing address
132 REMSEN ST STE 1, BROOKLYN, NY 11201-4242
(718) 858-6565

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60-156604
NY
2084P0804X
Child & Adolescent Psychiatry Physician
60-156604
NY

Other

Enumeration date
11/01/2006
Last updated
05/08/2023
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