Individual
DR. SCOTT DAVID CICERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2 FIRST AVE., ORANGEBURG, NY 10962
(845) 680-4024
(845) 680-8905
Mailing address
140 OLD ORANGEBURG RD, BUILDING 35, ORANGEBURG, NY 10962-1157
(845) 398-2190
(845) 398-6592
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
011369
NY
Other
Enumeration date
06/30/2010
Last updated
05/29/2015
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