Siciliano, Eileen Mellor

Siciliano, Eileen Mellor is an sole proprietor health care provider with primary practice located at 50 Akerly Pond Ln , Southold NY 11971-3005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Siciliano, Eileen Mellor can be contacted via phone (516) 746-2972.

Contact Information

Primary practice address
50 Akerly Pond Ln Southold NY 11971-3005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053336-1 New York

Profile Details

NPI number 1013977057
LBN Legal business name Siciliano, Eileen Mellor
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Dec 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013977057 NPPES
New York Other P495339 OXFORD

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