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NPI Profile for PETER J SICARDI JR in EAST PATCHOGUE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1720612880 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/27/2020 | |
| Last updated | 11/17/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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PETER J SICARDI JR
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| DAVID I JACKSON, PA 101 HOSPITAL ROAD PATCHOGUE, NY |
| JENNIFER L STEINBERG, RPAC 369 E MAIN STREET EAST ISLIP, NY |
| KENNETH R MATARAGAS, PA-C 1500 NY-112 BUILDING 6 PORT JEFFERSON STATION, NY |
| REBECCA BIANCO, PA-C 1010 NY ROUTE 112 PORT JEFFERSON STATION, NY |
| LISA TRENTINO, PA 2500 NESCONSET HWY STONY BROOK, NY |
| GRACE R GRANDVILLE, PA 181 BELLE MEAD ROAD EAST SETAUKET, NY |
| CHRISTIE L COTTY, PA 200 BELLE TERRE RD #110 PORT JEFFERSON, NY |
| DANIELLE S MIRABELLA 301 E MAIN ST BAY SHORE, NY |
| DONNA M KUZMISKI, PHYSICIAN ASSISTANT SOUTHSIDE HOSPITAL BAY SHORE, NY |
| MAUREEN L SALLIE, PA-C 301 E MAIN ST BAY SHORE, NY |
PETER J SICARDI JR