Individual
DR. CANDACE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 MEETING HOUSE LN, BLDG #2 SUITE 403, SOUTHAMPTON, NY 11968-5087
(631) 283-2100
(631) 283-5731
Mailing address
PO BOX 2340, SOUTHAMPTON, NY 11969-2340
(631) 283-2100
(631) 283-5731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02631432
—
NY
Enumeration date
08/17/2006
Last updated
01/28/2010
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