Individual provider · Type 1 NPI

Peter Joseph Sicardi Jr.

Surgical Physician Assistant · East Patchogue, NY

NPI number 1720612880 Active

Practice location

285 Sills Rd Bldg 18
East Patchogue, NY 11772-4808

Fax (631) 475-1588

Other practice locations

  • 2500 Nesconset Hwy Bldg 20A, Stony Brook, NY 11790-2564 · (631) 475-1224
  • 715 Roanoke Ave Ste 4, Riverhead, NY 11901-2769 · (631) 475-1224

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X025498-01 (NY)

Surgical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1720612880

Peter Joseph Sicardi Jr.'s National Provider Identifier is 1720612880, issued on Feb 27, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Patchogue, NY. The record was last updated on Nov 17, 2021.