Lidia Cicconetti, PA | |
900 Franklin Ave, Valley Stream, NY 11580-2145 | |
(516) 256-6000 | |
Not Available |
Full Name | Lidia Cicconetti |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 22 Years |
Location | 900 Franklin Ave, Valley Stream, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629160866 | NPI | - | NPPES |
001320600 | Medicaid | FL | |
008924 | Other | NY | LICENSE |
PA9103231 | Other | FL | LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | PA9103231 (Florida) | Secondary |
363AS0400X | Physician Assistant - Surgical | 008924 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwell Hospital Glen Cove | Glen cove, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Mailing Address | Practice Location Address |
---|---|
Lidia Cicconetti, PA 900 Franklin Ave, Valley Stream, NY 11580-2145 Ph: () - | Lidia Cicconetti, PA 900 Franklin Ave, Valley Stream, NY 11580-2145 Ph: (516) 256-6000 |
Mr. Alfonso Manuel Azucar, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-872-5137 | |
Bruna Faria Martins, Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 | |
Kaitlyn Rae Roeda, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 | |
Jake Bresnihan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 | |
Ms. Mariann Margaret Braito, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 | |
Mr. Preston Darian Totesau-johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 66 Fletcher Ave, Valley Stream, NY 11580 Phone: 917-216-1142 | |
Erin Rose Simonetti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |