Individual
CYNTHIA BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1 LEO MOSS DR, SUITE 4308, OLEAN, NY 14760-1156
(716) 373-8040
(716) 701-3729
Mailing address
1 LEO MOSS DR, SUITE 4308, OLEAN, NY 14760-1156
(716) 373-8040
(716) 701-3729
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
244163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635098
—
NY
Enumeration date
05/09/2013
Last updated
05/09/2013
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