Healthcare Provider Details

I. General information

NPI: 1073604443
Provider Name (Legal Business Name): PATRICK F CIONI MS MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 S CAMERON AVENUE
SCRANTON PA
18504
US

IV. Provider business mailing address

138 S CAMERON AVENUE
SCRANTON PA
18504
US

V. Phone/Fax

Practice location:
  • Phone: 570-343-0234
  • Fax: 570-343-0234
Mailing address:
  • Phone: 570-343-0234
  • Fax: 570-343-0234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC000062
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier7947379
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: