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Organization

CYNTHIA M. LAW ADULT HEALTH NP, PLLC

Active
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Organization

CYNTHIA M. LAW ADULT HEALTH NP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE SMITH (CREDENTIALING COORDINATOR)
(315) 782-4207
Entity
Organization

Contact information

Practice address
161 RIVERSIDE DR, OLD FORGE, NY 13420-7799
(315) 369-3693
(315) 369-0075
Mailing address
445 FACTORY ST, WATERTOWN, NY 13601-2729
(315) 782-4207
(315) 782-8699

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
11/18/2019
Last updated
09/22/2020
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