Individual provider · Type 1 NPI

Cristalrose Sicca

Specialist · Staten Island, NY

NPI number 1679243281 Active

Practice location

7052 Hylan Blvd
Staten Island, NY 10307-1937

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679243281

Cristalrose Sicca's National Provider Identifier is 1679243281, issued on Sep 15, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 15, 2021.