Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN MATIS CICIO, P.T.
Active Sole ProprietorSUSAN MATIS CICIO, P.T. is a Physical Therapy Assistant healthcare provider located in BALDWIN, New York. NPI 1164507414 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BALDWIN, NY
Registration Details
- NPI Number
- 1164507414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2006 (19.776097091839 yrs)
- Last Updated
- Jul 11, 2008
- License
-
8792 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
830 ATLANTIC AVEBALDWIN, NY, 115104098Browse NY providers · Browse ZIP 11510
- Phone
- 5168675050
- Fax
- 5168670868
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BALDWIN, NY
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN I. ZIMMERMAN | P.T., D.P.T., PH.D. | 1447254909 |
| DENISE C PINEAU | P.T. | 1275532202 |
| MR. JUANITO E REYES | PT | 1780639997 |
| MR. MARK CHESTER DIN YEUNG | PT | 1346274651 |
| MS. KELLY ANN SHEEHAN-COMBEST | PT | 1063587160 |
| MR. RAYMOND ROGERS | PT | 1750428868 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.