Joseph Cirieco, DMD

Individual provider Active NPI General Practice Dentistry · Tuckahoe, NY

NPI 1780802157 · NPPES record last updated Oct 28, 2015

Key facts

NPI
1780802157
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
036798-1 (NY)
Practice address
115 Main St
Suite 303
Tuckahoe, NY 10707-2948
Phone
(914) 779-6565
Fax
(914) 779-1568
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
036798-1NYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 036798-1 NY Yes

Addresses

Primary practice location

115 Main St
Suite 303
Tuckahoe, NY 10707-2948

Mailing address

115 Main St
Suite 303
Tuckahoe, NY 10707-2948
Phone (914) 779-6565

Other providers in Tuckahoe, NY

All providers in Tuckahoe, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.