person
Lidia Cicconetti, PA
Surgical Physician Assistant in Valley Stream, New York
NPI 1629160866

Lidia Cicconetti is a Surgical Physician Assistant based in Valley Stream, NY and is specialized in Surgical. Lidia Cicconetti practices in Valley Stream, NY and has the professional credentials of PA. The NPI Number for Lidia Cicconetti is 1629160866 and holds a License No. PA9103231 (New York).

The current practice location address for Lidia Cicconetti is 900 Franklin Ave, Valley Stream, NY and can be reached out via phone at 516-256-6000.

Location: 900 Franklin Ave, Valley Stream, NY, 11580-2145
person
Provider Profile Details
NPI Number
1629160866
Provider Name
Lidia Cicconetti
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
900 Franklin Ave, Valley Stream, NY, 11580-2145
Phone Number
516-256-6000
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001320600 05 FL
008924 01 NY LICENSE
PA9103231 01 FL LICENSE #
institution
Provider Business Practice Location Address Details
Address
900 Franklin Ave
City
State
Zip
11580-2145
Phone Number
516-256-6000
Fax Number
person
Provider Business Mailing Address Details
Address
900 Franklin Ave
City
State
Zip
11580-2145
Phone Number
516-256-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9103231 (Florida)
Definition
Definition to come...
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