Individual
DR. GARY CICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1049 FRANKLIN AVENUE, BRONX, NY 10456
(718) 861-5650
(718) 861-5654
Mailing address
569 BEACH ROAD, MAHOPAC, NY 10541
(845) 621-5006
(845) 621-5006
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N003225
NY STATE ED DEPT
NY
Enumeration date
08/23/2006
Last updated
03/07/2023
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