Provider Demographics
NPI:1700949419
Name:SICHEL, ARTHUR G (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:G
Last Name:SICHEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MICHIGAN RD
Mailing Address - Street 2:
Mailing Address - City:WOODBOURNE
Mailing Address - State:NY
Mailing Address - Zip Code:12788-5146
Mailing Address - Country:US
Mailing Address - Phone:845-434-8003
Mailing Address - Fax:
Practice Address - Street 1:6166 STATE RT 42
Practice Address - Street 2:
Practice Address - City:WOODBOURNE
Practice Address - State:NY
Practice Address - Zip Code:12788
Practice Address - Country:US
Practice Address - Phone:845-807-2927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8052103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V21962Medicare ID - Type Unspecified