Cicilline, Michelle Susan

Cicilline, Michelle Susan is an individual health care provider with primary practice located at 200 Red Creek Dr Suite 100, Rochester NY 14623-5264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cicilline, Michelle Susan can be contacted via phone (585) 334-0130.

Contact Information

Primary practice address
200 Red Creek Dr Suite 100 Rochester NY 14623-5264
Phone: (585) 334-0130
Fax: (585) 334-0213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0059841 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 253287 New York

Profile Details

NPI number 1528020898
LBN Legal business name Cicilline, Michelle Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 6th, 2023 - about 2 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 1528020898 NPPES
New York MEDICAID 03135797

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