Healthcare Provider Details

I. General information

NPI: 1871735514
Provider Name (Legal Business Name): TRINYA DEE WARNER M.S. ED., CAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRINYA DEE CICHY

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 05/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 S MANNING BLVD
ALBANY NY
12208-1708
US

IV. Provider business mailing address

230 WASHINGTON AVE EXTENTION
ALBANY NY
12203
US

V. Phone/Fax

Practice location:
  • Phone: 518-437-5717
  • Fax:
Mailing address:
  • Phone: 518-456-3268
  • Fax: 518-464-1469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number304691371189092
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: