DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAUL CICERO JR., ATC, CES

Active Sole Proprietor

PAUL CICERO JR., ATC, CES is a Athletic Trainer healthcare provider located in MEDFORD, New York. NPI 1245645969 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MEDFORD, NY

Registration Details

NPI Number
1245645969
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2014 (12.161743569269 yrs)
Last Updated
Jun 23, 2014
License
002205 (NY)
Sole Proprietor
Yes

Practice Information

Address
264 BRIDGEPORT AVE
MEDFORD, NY, 117634019
Browse NY providers · Browse ZIP 11763
Phone
5164561693
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MEDFORD, NY

Name Credential NPI
ALEJANDRO PAEZ B.S, LAT, ATC 1134982135
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.