Individual
JOHN D CERIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCH D
Contact information
Practice address
15 PLEASANT ST, HORNELL, NY 14843
(607) 324-9240
Mailing address
15 PLEASANT ST, HORNELL, NY 14843
(607) 324-9240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011476-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011476-1
NYS LICENSE
NY
Enumeration date
03/20/2008
Last updated
03/20/2008
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