MEDICARE: NICOLE CYTERSKI

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	DS045436	PA

General Provider Information

NPI Number	:	1255028759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE CYTERSKI

Provider Business Mailing Address
First Line	:	533 BROOKDALE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-1017
Country	:	US
Telephone Number	:	412-559-7842
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 OLD CLAIRTON RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-3907
Country	:	US
Telephone Number	:	412-559-7842
Fax Number	:

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

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	01/07/2026

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Directions to “ NICOLE CYTERSKI ” Practice Location

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