Marhenra J Ciccone in Brewerton - Mental Health
Marhenra J Ciccone - NPI 1417012113
Marhenra J Ciccone is a Mental Health in Brewerton, New York. Marhenra J Ciccone practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Marhenra J Ciccone is 1417012113. The last update date is 2007-07-09.
Marhenra J Ciccone's current location address is 8748 Weaver Rd, Brewerton, New York. You can contact this provider via phone number 3156992925 and fax number 3156992925. The mailing address for Marhenra J Ciccone is 8748 Weaver Rd, Brewerton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marhenra J Ciccone |
|---|---|
| Address | 8748 Weaver Rd, Brewerton, New York |
| Phone Number | 3156992925 |
| Fax Number | 3156992925 |
| Sole Proprietor | Y |
| Credentials | M.S., CRC |
NPI Number Detail
| NPI Number | 1417012113 |
|---|---|
| Provider Enumeration Date | 2006-12-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 8748 Weaver Rd |
|---|---|
| City | Brewerton |
| State | New York (NY) |
| Post Code | 130299690 |
| Phone Number | 3156992925 |
| Fax Number | 3156992925 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2935 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1978445 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marhenra J Ciccone by the Centers for Medicare & Medicaid Services?
The Marhenra J Ciccone has been assigned the NPI (National Provider Identifier) 1417012113. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Marhenra J Ciccone?
The Marhenra J Ciccone is physically situated at 8748 Weaver Rd, in the city of Brewerton, state of NY, with the postal code 130299690.
What is the Marhenra J Ciccone's specialty and taxonomy code?
The Marhenra J Ciccone's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417012113 to Marhenra J Ciccone?
The Centers for Medicare & Medicaid Services originally issued the 1417012113 to Marhenra J Ciccone on 2006-12-25.
As of what date were the details related to Marhenra J Ciccone most recently updated or revised?
The information pertaining to Marhenra J Ciccone, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.