Provider Demographics
NPI:1275895880
Name:CIELO, ABI
Entity Type:Individual
Prefix:
First Name:ABI
Middle Name:
Last Name:CIELO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:ROCCHIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32 FERNEY ST
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5161
Mailing Address - Country:US
Mailing Address - Phone:516-445-0324
Mailing Address - Fax:
Practice Address - Street 1:32 FERNEY ST
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5161
Practice Address - Country:US
Practice Address - Phone:516-445-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-10
Last Update Date:2012-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY552403041174400000X
NY552402041174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist