CHARLES STICCO


Address: 1 Healthy Way, Oceanside, NY 11572-1551
Phone: 5167645455

CHARLES STICCO (NPI# 1255643276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255643276
Entity Type Individual
Full Name CHARLES STICCO
Credential DO
Practice Address 1 Healthy Way
Oceanside
NY 11572-1551
Practice Telephone 5167645455
Practice Fax Number 5166780631
Mailing Telephone 5167645455
Mailing Fax Number 5166780631
Enumeration Date 2010-07-07
Last Update Date 2016-05-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
258397 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1 HEALTHY WAY
City OCEANSIDE
State NY
Zip Code 11572-1551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104824606 Edward E Mullen Specialist 1 Healthy Way, Oceanside, NY 11572-1551 2005-07-08
1831796812 Diane S Mcdevitt Nurse Practitioner 1 Healthy Way, Oceanside, NY 11572-1551 2020-10-03
1053921742 Mount Sinai School of Medicine Psychiatry & Neurology 1 Healthy Way, Oceanside, NY 11572-1551 2020-08-06
1841809886 Rizvi Surgical Care Pllc Surgery 1 Healthy Way, Oceanside, NY 11572-1551 2020-07-27
1760004022 Vascular Care LLC Surgery 1 Healthy Way, Oceanside, NY 11572-1551 2020-05-09
1023639937 Florence Dasrath Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-05-01
1730709312 Jordana Schmidt-swartz Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-23
1336769207 Nia Jagroop Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-21
1366062523 Gladys Isabel Palaguachi Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-17
1578182846 Amit Elazar Student in an Organized Health Care Education/Training Program 1 Healthy Way, Oceanside, NY 11572-1551 2020-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376152868 True North Dialysis Center LLC Clinic/Center 3005 Long Beach Rd, Oceanside, NY 11572 2020-07-30
1508493560 Mercedes Andreina Cardenas Pena Student in an Organized Health Care Education/Training Program 196 South Nassau, Oceanside, NY 11572 2020-03-26
1275170219 Prohealth Dental Pllc Dentist 2870 Long Beach Road, Oceanside, NY 11572 2019-12-10
1982252409 Fe Jaurigue Nurse Practitioner 2391 Washington Ave, Oceanside, NY 11572 2019-08-28
1689160749 Emil A Tocci, Dc, PC Chiropractor 3091 Lawson Blvd, Oceanside, NY 11572 2018-07-02
1336652726 Jennifer L Rodgers Nurse Practitioner 435 Kinsley Ct, Oceanside, NY 11572 2017-11-08
1205387859 Joanne Hudkins Nurse Practitioner 3353 5th St, Oceanside, NY 11572 2016-10-19
1346693595 Michelle Coletta-guadagno Case Manager/Care Coordinator 400 Oceanside Pkwy, Oceanside, NY 11572 2016-07-22
1831543271 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 3705 Hampton Rd, Oceanside, NY 11572 2016-04-22
1598170474 Amy Daleo Licensed Practical Nurse 299 Waukena Ave, Oceanside, NY 11572 2014-06-30
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932104890 John M Kroener Surgery 3601 Vista Way Ste 203, Oceanside, CA 92056-4559 2005-06-16
1891797023 Mohammad Jamshidi-nezhad Surgery 3998 Vista Way, Suite 200, Oceanside, CA 92056-4500 2005-06-01
1841809886 Rizvi Surgical Care Pllc Surgery 1 Healthy Way, Oceanside, NY 11572-1551 2020-07-27
1760004022 Vascular Care LLC Surgery 1 Healthy Way, Oceanside, NY 11572-1551 2020-05-09
1578568432 Andrew R Deemer Surgery 3998 Vista Way, Ste C200, Oceanside, CA 92056-4519 2005-06-16
1740285618 Eileen S Natuzzi Surgery 3998 Vista Way, Ste C200, Oceanside, CA 92056-4519 2005-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962003509 Gs Medical, P.C. Surgery 377-b Pearsall Ave, Cedarhurst, NY 11516 2020-11-02
1073128971 New York Vascular Group, Pllc Surgery 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 2020-09-09
1578190179 Camilo Jose Martinez Surgery 23 S Howell Ave Ste H, Centereach, NY 11720-4445 2020-03-24
1407483399 Interventional Medicine Surgery 1122a Coney Island Ave, Brooklyn, NY 11230-2307 2020-03-23
1487287975 Syracuse Professional Medical Services of New York LLC Surgery 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 2020-02-13
1457983181 Syracuse Medical of New York LLC Surgery 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 2020-02-11
1366914483 Star Veins Centers PC Surgery 225 W 35th St Frnt 2, New York, NY 10001-1904 2018-12-31
1528547312 Norwood Professional Medical Services of New York LLC Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
1336628130 Norwood Medical of New York LLC Surgery 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 2018-08-13
1003393299 Bushwick Professional Medical Services of New York LLC Surgery 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 2018-07-20
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Competitor

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City OCEANSIDE
Zip Code 11572

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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