Provider Demographics
NPI:1053556902
Name:CIOE, LEONARD AMERICO JR (BSN-RN)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:AMERICO
Last Name:CIOE
Suffix:JR
Gender:M
Credentials:BSN-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WELLESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-2956
Mailing Address - Country:US
Mailing Address - Phone:401-383-2346
Mailing Address - Fax:
Practice Address - Street 1:110 WELLESLEY AVE
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-2956
Practice Address - Country:US
Practice Address - Phone:401-383-2346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-06
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN46379163W00000X
RIRCP00803227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered