Individual
CHRISTINA MARIE CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1063 RENSSELAER AVE, STATEN ISLAND, NY 10309-2116
(917) 518-4787
Mailing address
1063 RENSSELAER AVE, STATEN ISLAND, NY 10309-2116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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