National Provider Identifier
Stephen Cicero, PA
Stephen Cicero, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 630-1000.
Profile Overview
- NPI
- 1922638188
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- January 16, 2020
- Last Updated
- January 16, 2020
Practice Location
- 85 High St
- Buffalo, NY 14203-1149
Phone: (716) 630-1000
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1922638188
- Entity Type
- Individual
- Last Name
- Cicero
- First Name
- Stephen
- Credential
- PA
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Practice Street Address
- 85 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1149
- Practice Country
- US
- Practice Phone
- (716) 630-1000
- Enumeration Date
- January 16, 2020
- Last Updated
- January 16, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)