Scott David Cicero PH.D.

NPI 1083925598 - Psychologist - 103TC2200X

NPI Details
NPI 1083925598
Gender Male
Enumeration Date 06/30/2010
Last Updated 05/29/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2 FIRST AVE.
ORANGEBURG NY, 10962, US
Phone (845) 680-4024
Fax (845) 680-8905
Business Location
140 OLD ORANGEBURG RD
BUILDING 35
ORANGEBURG NY, 10962-1157, US
Phone (845) 398-2190
Fax (845) 398-6592
Toxanomy
Taxonomy Code 103TC2200X
License State New York
License Number 011369
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According to our database, Dr. Scott David Cicero PH.D. NPI is 1083925598, taxonomy code is 103TC2200X and license number is 011369, license state is located at New York. Scott David Cicero PH.D. physically located at 2 First Ave., Orangeburg NY, 10962. NPI Number Scott David Cicero PH.D. has the Individual type.

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1083925598 NPI number is provided on an as is basis without warranty of any kind. 1083925598 is maintained by the National Plan & Provider Enumeration System. The contents of Scott David Cicero PH.D. are for informational purposes only.