MEDICARE: DR. RICHARD M CICCONE D.M.D.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	050868-1	NY

General Provider Information

NPI Number	:	1205047487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD M CICCONE D.M.D.

Provider Business Mailing Address
First Line	:	2778 HEWLETT AVE
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-5037
Country	:	US
Telephone Number	:	516-208-8608
Fax Number	:

Provider Business Practice Location Address
First Line	:	1757 MERRICK AVE
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-2717
Country	:	US
Telephone Number	:	516-623-1617
Fax Number	:

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

Provider Enumeration Date	:	05/27/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1932182607 — MRS. JAMIE LYNN ROCKWIN B.S.,M.A.,P.T.
Practice Location Address:

1757 MERRICK AVE , SUITE 104
NORTH MERRICK, NY
11566-2717

Practice Phone: 516-623-4388
Practice Fax: 516-623-4388

1609950443 — DR. PHILIP J CILIO DC, LAC
Practice Location Address:

1757 MERRICK AVE , SUITE 100
MERRICK, NY
11566-2717

Practice Phone: 516-474-9585
Practice Fax: 516-826-1461

1144350109 — THERAPEUTIC SOLUTIONS PHYSICAL THERAPY, PLLC
Practice Location Address:

1757 MERRICK AVE , SUITE 100
NORTH MERRICK, NY
11566-2717

Practice Phone: 516-623-4388
Practice Fax:

1881862282 — DR. DAVID GOTTESFELD D.D.S.
Practice Location Address:

1757 MERRICK AVE
MERRICK, NY
11566-2717

Practice Phone: 516-623-1617
Practice Fax:

1487983474 — DONNA MARTINO P.T.
Practice Location Address:

1757 MERRICK AVE , SUITE 100
N MERRICK, NY
11566-2717

Practice Phone: 516-623-4388
Practice Fax: 516-623-1948

1932438926 — DAVID GOTTESFELD, DDS PC
Practice Location Address:

1757 MERRICK AVE , SUITE 101
MERRICK, NY
11566-2717

Practice Phone: 516-623-1617
Practice Fax: 516-623-7825

Directions to “ DR. RICHARD M CICCONE D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.