National Provider Identifier
Bernard Riley Sisson, LCSW
Bernard Riley Sisson, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 280-8340.
Profile Overview
- NPI
- 1386795169
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- January 16, 2007
- Last Updated
- July 08, 2007
Practice Location
- 313 N Aurora St
- Ithaca, NY 14850-4201
Phone: (607) 280-8340
Mailing Address
- 1779 Ellis Hollow RD
- Ithaca, NY 14850
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1386795169
- Entity Type
- Individual
- Last Name
- Sisson
- First Name
- Bernard
- Middle Name
- Riley
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 1779 Ellis Hollow RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 539-6218
- Practice Street Address
- 313 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4201
- Practice Country
- US
- Practice Phone
- (607) 280-8340
- Enumeration Date
- January 16, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)