Healthcare Provider Details

I. General information

NPI: 1437073517
Provider Name (Legal Business Name): CECILIA ANON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FAMILY OF KIDZ 1400 OLD COUNTRY RD STE C103N
WESTBURY NY
11590
US

IV. Provider business mailing address

FAMILY OF KIDZ 1400 OLD COUNTRY RD STE C103N
WESTBURY NY
11590-5156
US

V. Phone/Fax

Practice location:
  • Phone: 516-806-6969
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: