Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lidia Cicconetti, PA

Individual provider Surgical Physician Assistant · NPI 1629160866

Lidia Cicconetti, PA is a Physician Assistant in Valley Stream, New York. Qualified in 2002, 24 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
24
Licensed in
FL, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone: (516) 256-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 008924 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9103231 (FL)

Record details

NPI number1629160866
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESNovember 27, 2012
Mailing address900 Franklin Ave, Valley Stream, NY 11580-2145

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Valley Stream