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David E. Ciancimino, MD

Psychiatry & Neurology, Psychiatry in Bridgeport, CT. Individual provider (NPI-1).

NPI number1992723282
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992723282
Entity type
Individual (NPI-1)
Name
David E. Ciancimino
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 17, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
Excluded since Jun 20, 2023 (1128a4)

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry031679CTYes

Practice location

4697 Main St
Bridgeport, CT 06606-1869

Phone 203-372-5695 · Fax 203-459-0574

Mailing address

4697 Main St
Bridgeport, CT 06606-1869

Phone 203-372-5695 · Fax 203-459-0574

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatry Physician providers in Bridgeport, CT

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