Individual
DR. ANDREW JAMES CIANCIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NORTHERN BLVD, GREENVALE, NY 11548-1340
(516) 629-2090
(516) 629-2094
Mailing address
PO BOX 9500-6625, PHILADELPHIA, PA 19195-6625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
275566
NY
Other
Enumeration date
11/25/2011
Last updated
03/17/2021
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