Mack, Cynthia Marie

Mack, Cynthia Marie is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Mack, Cynthia Marie can be contacted via phone (585) 275-0980.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Phone: (585) 275-0980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 430513 New York
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 430513 New York

Profile Details

NPI number 1457670457
LBN Legal business name Mack, Cynthia Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2010
Last updated Jul 6th, 2023 - about 3 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 1457670457 NPPES
New York MEDICAID 03428737

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