Individual
ANTHONY CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 79TH ST, BROOKLYN, NY 11209-3708
(718) 748-6644
(718) 748-6851
Mailing address
430 79TH ST, BROOKLYN, NY 11209-3708
(718) 748-6644
(718) 748-6851
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002487-1
NY
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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