Individual
JOSEPH LEO CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
622 W 168TH ST PH 11, NEW YORK, NY 10032-3720
(212) 305-5974
Mailing address
622 W 168TH ST PH 11, NEW YORK, NY 10032-3720
(212) 305-5974
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
029930
NY
2251X0800X
Orthopedic Physical Therapist
Primary
029930
NY
Other
Enumeration date
02/14/2008
Last updated
05/02/2023
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