Healthcare Provider Details

I. General information

NPI: 1053556902
Provider Name (Legal Business Name): LEONARD AMERICO CIOE JR. BSN-RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2008
Last Update Date: 12/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 WELLESLEY AVE
NORTH PROVIDENCE RI
02911-2956
US

IV. Provider business mailing address

110 WELLESLEY AVE
NORTH PROVIDENCE RI
02911-2956
US

V. Phone/Fax

Practice location:
  • Phone: 401-383-2346
  • Fax:
Mailing address:
  • Phone: 401-383-2346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN46379
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP00803
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: