Cavanaugh, Cynthia E

Cavanaugh, Cynthia E is an sole proprietor health care provider with primary practice located at 2968 Gulf Rd , Manlius NY 13104. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Pediatrics, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Home Health is her primary health care specialty. Cavanaugh, Cynthia E can be contacted via phone (315) 655-2597.

Contact Information

Primary practice address
2968 Gulf Rd Manlius NY 13104
Phone: (315) 655-2597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 296622 1 New York
Nursing Service Providers / Pediatrics 163WP0200X 296622 1 New York
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 296622 1 New York

Profile Details

NPI number 1154517019
LBN Legal business name Cavanaugh, Cynthia E
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 2007 - about 19 years ago

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 1154517019 NPPES
New York MEDICAID 02640393

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