MEDICARE: MARIA CIRIGLIANO FNP

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	363LF0000X	Family Nurse Practitioner	334040	NY
2	363LF0000X	Family Nurse Practitioner	26NJ01115400	NJ

General Provider Information

NPI Number	:	1154886687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CIRIGLIANO FNP

Provider Business Mailing Address
First Line	:	523B LIBERTY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 EDGEGROVE AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-3332
Country	:	US
Telephone Number	:	917-951-5663
Fax Number	:

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

Provider Enumeration Date	:	02/08/2019
Last Update Date	:	12/30/2024

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