Individual
MR. PETER JOSEPH SICARDI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 SILLS RD BLDG 18, EAST PATCHOGUE, NY 11772-4808
(631) 475-1224
(631) 475-1588
Mailing address
285 SILLS RD BLDG 18, EAST PATCHOGUE, NY 11772-4808
(631) 475-1224
(631) 475-1588
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
025498-01
NY
Other
Enumeration date
02/27/2020
Last updated
11/17/2021
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