Individual
MR. ANTONIO GIUSEPPE CICCOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
375 SEGUINE AVE, STATEN ISLAND, NY 10309-3932
(718) 226-2000
Mailing address
11 CRESTON ST, STATEN ISLAND, NY 10309-3534
(917) 932-4055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033955
NY
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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