Dr. Lawrence Angelo Cicchiello, M.D.
Radiology, Diagnostic Radiology in Middletown, NY. Individual provider (NPI-1).
NPI number1740451152
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1740451152
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence Angelo Cicchiello
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2008
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 240450 | NY | Yes |
Practice location
707 E Main StRadiologic Associates, PC
Middletown, NY 10940-2650
Phone 845-333-1258 · Fax 845-343-0617
Mailing address
707 E Main StRadiologic Associates, PC
Middletown, NY 10940-2650
Phone 845-333-1258 · Fax 845-343-0617
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