Lee Michael Ciccarelli (NPI# 1417909029, PAC ID# 6305880899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
Nation Provider ID (NPI) | 1417909029 |
PAC ID by PECOS | 6305880899 |
Professional Enrollment ID | I20050615000633 |
Full Name | Lee Michael Ciccarelli |
Address |
1251 Rural Ave Williamsport PA 17701-1697 |
Phone Number | 5703279480 |
Gender | M |
Credential | MD |
Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
Graduation Year | 1978 |
Primary Specialty | GERIATRIC MEDICINE |
Secondary Specialties | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390045 | WILLIAMSPORT REGIONAL MEDICAL CENTER |
390006 | GEISINGER MEDICAL CENTER |
391300 | GEISINGER JERSEY SHORE HOSPITAL |
391301 | MUNCY VALLEY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1251 Rural Ave, Williamsport, PA 17701-1697 | 5703279480 |
Street Address |
1251 RURAL AVE |
City | WILLIAMSPORT |
State | PA |
Zip | 17701-1697 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer R Zelewicz | Clinical Social Worker | Rear 1012 Washington Blvd, Williamsport, PA 17701-1012 | |
Russell L Gombosi | Internal Medicine | 3155 Lycoming Creek Rd, Williamsport, PA 17701-1032 | |
Darrin Lynn Wascher | Chiropractic | 2403 Lycoming Creek Rd, Williamsport, PA 17701-1163 | |
Thomas Robert Piccirilli | Optometry | Independence Corporation | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 |
David G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
Damon G Wascher | Chiropractic | 1905 Mill Ln, Williamsport, PA 17701-1527 | |
Gregory A Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
Brett L Johnson | Chiropractic | 730 Wildwood Blvd, Williamsport, PA 17701-1648 | |
Danielle Farer | Nurse Practitioner | Gps Physician Group, PC | 1201 Rural Ave, Williamsport, PA 17701-1669 |
Abike O Durojaye | Diagnostic Radiology | Susquehanna Imaging Associates, Inc. | 1112 Grampian Blvd, Williamsport, PA 17701-1909 |
Find all physicians in zip 17701 |
City | WILLIAMSPORT |
Zip Code | 17701 |
Specialty | GERIATRIC MEDICINE |
City + Specialty | WILLIAMSPORT + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Lee Michael Ciccarelli.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.