Individual
DR. LAWRENCE ANGELO CICCHIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, RADIOLOGIC ASSOCIATES, PC, MIDDLETOWN, NY 10940-2650
(845) 333-1258
(845) 343-0617
Mailing address
707 E MAIN ST, RADIOLOGIC ASSOCIATES, PC, MIDDLETOWN, NY 10940-2650
(845) 333-1258
(845) 343-0617
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
240450
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03332189
—
NY
Enumeration date
03/13/2008
Last updated
07/22/2021
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