Individual
CINDY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
135 N UNION ST, UNIVERSAL PRIMARY CARE, OLEAN, NY 14760-2736
(716) 375-7500
(716) 701-6852
Mailing address
135 N UNION ST, STCHCN/UPC, OLEAN, NY 14760-2736
(716) 375-7500
(716) 701-6853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
000978
NY
176B00000X
Midwife
000978
NY
367A00000X
Advanced Practice Midwife
Primary
F000978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02152692
—
NY
Enumeration date
02/07/2006
Last updated
06/22/2023
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