Dr. Scott David Cicero
Clinical Child & Adolescent Psychologist
2 First Ave.
Orangeburg
, New York 10962
Dr. Scott David Cicero
Clinical Child & Adolescent Psychologist
2 First Ave.
Orangeburg
, New York 10962
(845) 398-6592
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Scott David Cicero
- 140 Old Orangeburg Rd Building 35
- Orangeburg, NY
- Zip : 10962-1157
- Fax : (845) 398-6592
- Phone : (845) 398-2190
Second Address
- Dr. Scott David Cicero
- 2 First Ave.
- Orangeburg, NY
- Zip : 10962
- Fax : (845) 680-8905
- Phone : (845) 680-4024
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 011369 | NY |
National Provider Identifier
| NPI | 1083925598 |
|---|---|
| Provider Name | Dr. Scott David Cicero |
| First Address | Orangeburg, NY 10962-1157 |
| Second Address | Orangeburg, NY 10962 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2010 |
| Last Update Date | 29/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.