Individual
MICHAEL CICATELLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
11 FLORENCE RD, PUTNAM VALLEY, NY 10579-3423
(845) 528-1942
(845) 528-1942
Mailing address
11 FLORENCE RD, PUTNAM VALLEY, NY 10579-3423
(845) 528-1942
(845) 528-1942
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
O000020
NY
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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