Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIDIA CICCONETTI, PA
ActiveLIDIA CICCONETTI, PA is a Surgical Physician Assistant healthcare provider located in VALLEY STREAM, New York. NPI 1629160866 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · VALLEY STREAM, NY
Registration Details
- NPI Number
- 1629160866
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2006 (19.920200951645 yrs)
- Last Updated
- Nov 27, 2012
- Licenses
-
PA9103231 (FL)008924 (NY)
Practice Information
- Address
-
900 FRANKLIN AVEVALLEY STREAM, NY, 115802145Browse NY providers · Browse ZIP 11580
- Phone
- 5162566000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in VALLEY STREAM, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES MICHAEL BEHAN SR. | PA-C | 1295736353 |
| ARDIAN TAPIJA | RSA,OPA-C | 1902832421 |
| KELLY MARINA DARNELL | PA-C | 1891270328 |
| ERIN ROSE SIMONETTI | — | 1073175782 |
| HARRISON JOSEPH LAVE | — | 1922625870 |
| MADELEINE ANN REYES | PA | 1205442100 |
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.