MS. JEANINE SICO PA-C NPI 1477649309

NPI Information

NPI: 1477649309
Provider Name: MS. JEANINE SICO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
20 YORK ST # CB-2041
YNH MEDICAL SERVICES PC
NEW HAVEN, CT
ZIP 06504
Phone: (203) 688-4748
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MS. Jeanine Sico, PA-C is a medical physician assistant in New Haven, CT. MS. Jeanine Sico, PA-C NPI is 1477649309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 YORK ST # CB-2041
YNH MEDICAL SERVICES PC
NEW HAVEN, CT
ZIP 06504-900
Phone: (203) 688-4748
Fax: (203) 688-4740

The NPI 1477649309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	001242	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001242	OTHER	CONNECTICUT	CT PA LICENSE NUMBER
2	32678	OTHER	CONNECTICUT	CT CSR CERTIFICATE
3	MO0901733	OTHER	CONNECTICUT	FED DEA CERTIFICATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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