Individual
JOSEPH CICIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 GENESEE ST, AUBURN, NY 13021-3203
(315) 252-7281
Mailing address
8073 FOREST RIDGE LN, BALDWINSVILLE, NY 13027-4110
(315) 657-8939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061808
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
04/05/2024
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