Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paul Cicero Jr., ATC, CES

Individual provider Athletic Trainer · NPI 1245645969

Paul Cicero Jr., ATC, CES is an Athletic Trainer in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

264 Bridgeport Ave
Medford, NY 11763-4019
Phone: (516) 456-1693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 002205 (NY)

Record details

NPI number1245645969
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , CES
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 23, 2014

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