Individual provider · Type 1 NPI

Kaelyn Elizabeth Cicco, RPA-C

Medical Physician Assistant · East Syracuse, NY

NPI number 1902115785 Active

Practice location

5800 Heritage Landing Dr Ste C
East Syracuse, NY 13057-9378

Mailing address

1001 W Fayette St Ste 400
Syracuse, NY 13204-2866

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X014312 (NY)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1902115785

Kaelyn Elizabeth Cicco, RPA-C's National Provider Identifier is 1902115785, issued on Sep 28, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Syracuse, NY. The record was last updated on Nov 13, 2023.