Individual
CYNTHIA G MARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
49 TOAD POINT RD, PETERSBURGH, NY 12138-4308
(518) 658-2438
Mailing address
49 TOAD POINT ROAD, PETERSBURGH, NY 12138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10114774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SACK0004
—
NY
Enumeration date
10/27/2011
Last updated
10/27/2011
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