Save Type Surname (from given name & from nickname) Usage Italian Pronounced Pron. [pit.tʃi.ˈniː.ni], pich-a-nee-nee [key·simplify] Other Forms FormsPiccino, Piccinni, Piccini, Piccinno, Piccin, Piccinin, Piccinino Meaning & History Derived from Italian piccino "little, small, tiny".