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Laura Cicero
Peer Specialist in Brentwood, New York
NPI 1407211162

Laura Cicero is a Peer Specialist based in Brentwood, NY. Laura Cicero practices in Brentwood, NY. The NPI Number for Laura Cicero is 1407211162 and holds a License No. 1578627785 (New York).

The current practice location address for Laura Cicero is 998 Crooked Hill Rd, Brentwood, NY and can be reached out via phone at 631-761-2139.

Location: 998 Crooked Hill Rd, Brentwood, NY, 11717-1019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407211162
Provider Name
Laura Cicero
Credential
Provider Entity Type
Individual
Gender
Female
Address
998 Crooked Hill Rd, Brentwood, NY, 11717-1019
Phone Number
631-761-2139
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
998 Crooked Hill Rd
City
Brentwood
State
New York
Zip
11717-1019
Phone Number
631-761-2139
Fax Number
person
Provider Business Mailing Address Details
Address
998 Crooked Hill Rd
City
Brentwood
State
New York
Zip
11717-1019
Phone Number
631-761-2139
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1578627785 (New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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