Individual
MR. ALAN VINCENT IVICIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
220 ROUTE 6, MAHOPAC, NY 10541-3850
(917) 336-4289
Mailing address
220 ROUTE 6, MAHOPAC, NY 10541-3850
(917) 336-4289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079338
NY
Other
Enumeration date
08/08/2008
Last updated
05/07/2026
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