Jeanine Sico in New Haven - Medical

Jeanine Sico - NPI 1477649309

Jeanine Sico is a Medical in New Haven, Connecticut. Jeanine Sico practices all healthcare services and medical treatments related to Medical. The NPI Number for Jeanine Sico is 1477649309. The last update date is 2023-03-07.

Jeanine Sico's current location address is 20 York St, New Haven, Connecticut. You can contact this provider via phone number 2036884748. The mailing address for Jeanine Sico is 20 York St, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanine Sico
Address 20 York St, New Haven, Connecticut
Phone Number 2036884748
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1477649309
Provider Enumeration Date 2006-10-05
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 20 York St
City New Haven
State Connecticut (CT)
Post Code 65048900
Phone Number 2036884748
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1242
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1242 CT CT PA LICENSE NUMBER
32678 CT CT CSR CERTIFICATE

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FAQs about Jeanine Sico

What is the Jeanine Sico's unique identification number?

The Jeanine Sico has been assigned the NPI (National Provider Identifier) Number 1477649309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jeanine Sico's facilities are situated?

The facilities of Jeanine Sico are physically located at the following address: 20 York St, New Haven, CT, 65048900.

What is the area of specialization for Jeanine Sico, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeanine Sico is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477649309 to Jeanine Sico?

The Jeanine Sico received its 1477649309 assignment from the Centers for Medicare & Medicaid Services on 2006-10-05.

As of what date were the details pertaining to Jeanine Sico last refreshed?

The information related to the Jeanine Sico, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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