MEDICARE: KIMBERLY CIACCIA

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
1	163W00000X	Registered Nurse	687399	NY
2	363LP0200X	Pediatric Nurse Practitioner	382611	NY

General Provider Information

NPI Number	:	1861875080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY CIACCIA

Provider Business Mailing Address
First Line	:	10101 ROCKAWAY BLVD
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-2228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10101 ROCKAWAY BLVD
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-2228
Country	:	US
Telephone Number	:	917-566-9440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	07/06/2016

Similar Medicare Providers

1124561618 — JUDITH ROBB
Practice Location Address:

10101 ROCKAWAY BLVD
OZONE PARK, NY
11417-2228

Practice Phone: 718-322-0500
Practice Fax:

1215461470 — JENNIFER CARBAJAL LCSW
Practice Location Address:

10101 ROCKAWAY BLVD
OZONE PARK, NY
11417-2228

Practice Phone: 516-853-8898
Practice Fax:

1770253320 — ASSELAH SALEH ALWAQZA MS, CCC-SLP
Practice Location Address:

10101 ROCKAWAY BLVD
OZONE PARK, NY
11417-2228

Practice Phone: 718-322-0500
Practice Fax: 718-738-9077

1497074280 — TAMOIYA MULLGRAV
Practice Location Address:

13502 FOCH BLVD
SOUTH OZONE PARK, NY
11420-2228

Practice Phone: 718-659-1275
Practice Fax:

1184619322 — MS. ELIZABETH WEEKS MUSIL LCSW DCSW
Practice Location Address:

8500 EXECUTIVE PARK AVE , STE 200
FAIRFAX, VA
22031-2228

Practice Phone: 571-277-6437
Practice Fax: 703-524-2971

1306824909 — JIN HYUK PARK M.D.
Practice Location Address:

8500 EXECUTIVE PARK AVE STE 110
FAIRFAX, VA
22031-2228

Practice Phone: 703-573-0504
Practice Fax: 703-573-4856

Directions to “ KIMBERLY CIACCIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.