Individual
MRS. CYNTHIA MARIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-0980
Mailing address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-8655
(585) 275-0980
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
430513
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
430513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03428737
—
NY
Enumeration date
06/01/2010
Last updated
07/06/2023
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