Healthcare Provider Details

I. General information

NPI: 1952381238
Provider Name (Legal Business Name): MARIA DELOSANGELES-SICILIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 LOUCKS RD
YORK PA
17404
US

IV. Provider business mailing address

PO BOX 175
NORTHUMBERLAND PA
17857-0175
US

V. Phone/Fax

Practice location:
  • Phone: 717-767-8745
  • Fax: 717-764-1601
Mailing address:
  • Phone: 570-988-0925
  • Fax: 570-988-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License NumberMD064127L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: