Cicconetti, Lidia

Cicconetti, Lidia is an individual health care provider with primary practice located at 900 Franklin Ave , Valley Stream NY 11580-2145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cicconetti, Lidia can be contacted via phone (516) 256-6000.

Contact Information

Primary practice address
900 Franklin Ave Valley Stream NY 11580-2145
Phone: (516) 256-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103231 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 008924 New York

Profile Details

NPI number 1629160866
LBN Legal business name Cicconetti, Lidia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 27th, 2012 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629160866 NPPES
Florida MEDICAID 001320600
Florida Other 008924
Florida Other PA9103231

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