Healthcare Provider Details

I. General information

NPI: 1437207065
Provider Name (Legal Business Name): ERICA CICALE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N BROADWAY SUITE 14
WHITE PLAINS NY
10603-2418
US

IV. Provider business mailing address

3 SHIPPEN RD
ARMONK NY
10504-1325
US

V. Phone/Fax

Practice location:
  • Phone: 914-946-6220
  • Fax: 914-946-3972
Mailing address:
  • Phone: 914-946-6220
  • Fax: 914-946-3972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number255158-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: