Dr. Frank R Cicero, PhD
Psychologist in Staten Island, NY. Individual provider (NPI-1).
NPI number1154636660
StatusActive
Last updated in NPPESAug 10, 2010
Details
- NPI
- 1154636660
- Entity type
- Individual (NPI-1)
- Name
- Dr. Frank R Cicero
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2010
- Last updated
- Aug 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 018710 | NY | Yes |
| 103K00000X | Behavior Analyst | 1052171 | NY | |
| 103TS0200X | Psychologist, School | – | NY |
Practice location
150 Granite AveStaten Island, NY 10303-2718
Phone 718-816-1422
Mailing address
264 Waters AveStaten Island, NY 10314-2027
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