Laura Carmela Dicicco, MA

Primary specialty

SpecialistTaxonomy code 174400000X

License

$$$$$$$$$ Issued in NY

Practice address

149 Rollstone Ave
West Sayville, NY 11796-1308

Phone

(516) 532-4014

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1720770290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ROLLSTONE AVE",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961308",
            "telephone_number": "516-532-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ROLLSTONE AVE",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961308",
            "telephone_number": "516-532-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICICCO",
        "first_name": "LAURA",
        "middle_name": "CARMELA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Connor
• Christopher Thomas Conway, LCSW
• Gregory Couba
• CVS Albany LLC
• Jessica Deedy, LMT, DTR
• John Diehl, MS
• Raymond L Ebarb, M.D.
• Emily Clare Ehlinger, LMHC
• Melissa Dawn Elliott-Brogan, LCSW
• Nicole Emma-May

• Specialist in West Sayville, NY
• Providers in West Sayville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.