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NPI Code Detail

MEDICARE: MR. ANDREW JAMES CIOTTI NP

MEDICARE: MR. ANDREW JAMES CIOTTI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner401250NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285822056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW JAMES CIOTTI NP
Provider Business Mailing Address
First Line : 366 BROADWAY
Second Line : BLDG 5
City : AMITYVILLE
State : NY
Zip : 11701-2711
Country : US
Telephone Number : 718-460-2046
Fax Number :
Provider Business Practice Location Address
First Line : 1167 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5417
Country : US
Telephone Number : 718-778-0198
Fax Number : 718-221-8169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2007
Last Update Date : 06/12/2019

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