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

DR. BEAU DICICCO, M.D.

Active

DR. BEAU DICICCO, M.D. is a Dermatology healthcare provider located in NEW YORK, New York. NPI 1255786000 is currently active in the NPPES registry. Verify at CMS.

Dermatology · NEW YORK, NY

Registration Details

NPI Number
1255786000
Provider Type
Individual
Gender
Male
NPI Issued
Apr 29, 2016 (10.286828876249 yrs)
Last Updated
Oct 22, 2025
License
304250 (NY)

Practice Information

Address
417 E 83RD ST APT 5A
NEW YORK, NY, 100286108
Browse NY providers · Browse ZIP 10028
Phone
5129478926
Primary Specialty
Dermatology
207N00000X

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CAROLE LYNNE SHEAR MD 1578568887
MONICA BARBARA SCHADLOW M.D. 1447255427
LAWRENCE D JAEGER SR. DO 1093711897
NADINE P WENNER M.D. 1144227703
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.