Anthony R. Ciancimino, D.D.S.
Dentist, General Practice in Middle Village, NY. Individual provider (NPI-1).
NPI number1477580934
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477580934
- Entity type
- Individual (NPI-1)
- Name
- Anthony R. Ciancimino
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 31433 | NY | Yes |
Practice location
8202 Penelope AveMiddle Village, NY 11379-2337
Phone 718-326-0003 · Fax 718-326-5269
Mailing address
8202 Penelope AveMiddle Village, NY 11379-2337
Phone 718-326-0003 · Fax 718-326-5269
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