Individual
CYNTHIA CEVALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 385-7780
Mailing address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
02/06/2013
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