PETER DE CICCO, L. AC, Acupuncturist RIDGEWOOD, NJ

Contact Information

PETER DE CICCO, L. AC

555 GOFFLE RD STE 222
RIDGEWOOD, NJ 07450-4036

Phone: 201-652-1200
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Acupuncturist	171100000X

Indicates primary specialty

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NPI Profile & details for PETER DE CICCO · (Male)

NPI #	`1871981944`
Status	Active
Credentials	L. AC
Entity	Individual
Enumeration date	12/24/2014
Last updated	08/10/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	NY License # 25005389
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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