PHILLIP MARTIN CICCO

SYRACUSE, NY
NPI1679987143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  338748)
Enumeration Date2014-06-12
Last Update Date2014-06-12
Business Address
-- PHILLIP MARTIN CICCO N.P.
736 IRVING AVE
SYRACUSE, NY 13210-1687
Phone number: 315-470-7111
Mailing Address
-- PHILLIP MARTIN CICCO N.P.
5046 REVOLUTIONARY PATH
LIVERPOOL, NY 13088
Phone number: 570-498-7688
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