Individual
CYNTHIA M CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2 TITUS PLACE, WALTON, NY 13856
(607) 865-2400
(607) 865-7305
Mailing address
2 TITUS PLACE, WALTON, NY 13856
(607) 865-2400
(607) 865-7305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10024786
CDPHP
NY
01
—
160025193
TRAVELERS RR MEDICARE
NY
Enumeration date
07/07/2005
Last updated
08/19/2014
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