| Doctor Name: | DR. CICELY N HORSHAM-BRATHWAITE |
| NPI Number: | 1063683035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 016586 |
| Business Practice Address: | 20 Broadhollow Rd Suite 2004 Melville, NY - 117472501 |
| Business Phone Number: | 6314276669 |
| Business Fax Number: | |
| Mailing Address: | 734 Franklin Ave, Suite 413 GARDEN CITY |
| State: | NY |
| Postal Code: | 115304525 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 09/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 016586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |