Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Blair Lee Ciccarelli, RPA-C

Individual provider Physician Assistant · NPI 1861825473

Mr. Blair Lee Ciccarelli, RPA-C is a Physician Assistant in Amsterdam, New York. Qualified in 2013, 13 years ago. Practices with Saratoga Hospital, a 352-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

427 Guy Park Ave
Amsterdam, NY 12010-1054
Phone: (518) 841-7237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016862 (NY)

Record details

NPI number1861825473
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2013
Last updated in NPPESAugust 19, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Saratoga Hospital — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Amsterdam