Individual
CYNTHIA KANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
168 GERARD AVE, NEW HYDE PARK, NY 11040-1733
(516) 784-9099
Mailing address
168 GERARD AVE, NEW HYDE PARK, NY 11040-1733
(516) 784-9099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099972
NY
Other
Enumeration date
08/31/2020
Last updated
10/14/2025
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