Provider Demographics
NPI:1487763223
Name:SISON, CECILE E (PHD)
Entity type:Individual
Prefix:DR
First Name:CECILE
Middle Name:E
Last Name:SISON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E 75TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3034
Mailing Address - Country:US
Mailing Address - Phone:212-744-6376
Mailing Address - Fax:
Practice Address - Street 1:VA HUDSON VALLEY HEALTH CARE SYSTEM
Practice Address - Street 2:ALBANY POST ROAD, RT. 9A
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548
Practice Address - Country:US
Practice Address - Phone:914-737-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010979-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical