National Provider Identifier

Ian Cero, PHD

Ian Cero, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (651) 270-8396.

NPI 1255017380Rochester, NYClinical Psychologist

Profile Overview

NPI
1255017380
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
June 23, 2023
Last Updated
June 23, 2023

Practice Location

  • 300 Crittenden Blvd
  • Rochester, NY 14642-0001

Phone: (651) 270-8396

Mailing Address

  • 46 E Buffalo St
  • Churchville, NY 14428-9323

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1255017380
Entity Type
Individual
Last Name
Cero
First Name
Ian
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
46 E Buffalo St
Mailing City
Churchville
Mailing State
NY
Mailing ZIP Code
14428-9323
Mailing Country
US
Practice Street Address
300 Crittenden Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(651) 270-8396
Enumeration Date
June 23, 2023
Last Updated
June 23, 2023
Sex
Male
Sole Proprietor
No
Certification Date
June 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)