Basic Information
| Provider Information | |||||||||
| NPI: | 1922052166 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATTARDO | ||||||||
| FirstName: | CIRO | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 COATES DR | ||||||||
| Address2: | |||||||||
| City: | GOSHEN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109246758 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456511400 | ||||||||
| FaxNumber: | 8456511512 | ||||||||
| Practice Location | |||||||||
| Address1: | 1460 ROUTE 17M | ||||||||
| Address2: | |||||||||
| City: | CHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109181054 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454694211 | ||||||||
| FaxNumber: | 8454692339 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 09/27/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 148047 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.