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General NPI Number Information
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NPI Number | 1699981464
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Entity Type | Individual
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Provider Name | BARBARA ANN CICERO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8535 54TH AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4332
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Country | US
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Telephone | 718-305-8710
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Fax |
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Provider Business Mailing Address
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Address Line | 8535 54TH AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4332
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Country | US
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Telephone | 718-305-8710
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 013198
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 013198
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 013198
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License Number State | NY
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