Ciccone, Nicholas Giacomo
Ciccone, Nicholas Giacomo is an individual health care provider with primary practice located at 8000 Cranberry Springs Dr , Cranberry Township PA 16066-6687. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ciccone, Nicholas Giacomo can be contacted via phone (855) 937-7678.Contact Information
Primary practice address
8000 Cranberry Springs Dr
Cranberry Township PA 16066-6687
Phone: (855) 937-7678
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2845 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2845 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2845 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA061397 | Pennsylvania |
Profile Details
| NPI number | 1093104879 |
|---|---|
| LBN Legal business name | Ciccone, Nicholas Giacomo |
| Credentials | MSPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2015 |
| Last updated | Nov 24th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093104879 | NPPES |
| South Carolina | MEDICAID | 3416PA | |
| South Carolina | Other | SCB7227628 |
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