DR. LEE MICHAEL CICCARELLI

Address: 1251 Rural Ave, Williamsport, PA 17701-1697
Phone: 5703279480

DR. LEE MICHAEL CICCARELLI (NPI# 1417909029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417909029
Entity Type 1 - Individual
Full Name DR. LEE MICHAEL CICCARELLI
Credential M.D.
Practice Address 1251 Rural Ave
Williamsport
PA 17701-1697
Practice Telephone 5703279480
Practice Fax Number 5703279483
Enumeration Date 05/16/2006
Last Update Date 01/12/2010
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 173000000X Legal Medicine MD022616E PA Other Service Providers
Y 174400000X Specialist MD022616E PA Other Service Providers

Office Location

Street Address 1251 RURAL AVE
City WILLIAMSPORT
State PA
Zip Code 17701-1697

Providers with the same location

NPI Name Address
1902842305 ROSE VIEW MANOR, INC. 1251 Rural Ave, Williamsport, PA 17701-1697
1497879530 MS. MARY PATRICIA SHERMAN 1251 Rural Ave, Williamsport, PA 17701-1697
1841472164 ROSE VIEW MANOR LLC 1251 Rural Ave, Williamsport, PA 17701-1697
1134453889 MS. ERICA L. DERRICK 1251 Rural Ave, Williamsport, PA 17701-1697
1699097469 BARBARA CHESNEY 1251 Rural Ave, Williamsport, PA 17701-1697
1669747218 NANCY L. KRAUSE 1251 Rural Ave, Williamsport, PA 17701-1697
1891106746 GENESIS ELDERCARE REHABILITATION SERVICES, INC 1251 Rural Ave, C/o Roseview Court, Williamsport, PA 17701-1697

Competitor

Search similar physicians

City WILLIAMSPORT
Zip Code 17701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.