DR. Gerald Vincent Ciccarello, D.P.M.

NPI #1720086796 in Wantagh, New York

Provider Information

NPI Number: 1720086796
Entity Type: Individual
Name: DR. Gerald Vincent Ciccarello, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Jul 13, 2005
Last Updated: Dec 10, 2007

Practice Location

Address: 2098 WANTAGH AVE
City: Wantagh
State: New York
ZIP Code: 11793-3914
Phone: (516) 781-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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