Basic Information
| Provider Information | |||||||||
| NPI: | 1487763223 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SISON | ||||||||
| FirstName: | CECILE | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 311 E 75TH ST APT 3A | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100213034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127446376 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | VA HUDSON VALLEY HEALTH CARE SYSTEM | ||||||||
| Address2: | ALBANY POST ROAD, RT. 9A | ||||||||
| City: | MONTROSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147374400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 010979-1 | NY | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.