Individual
CYNTHIA STOUDMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N 23RD ST, WHEATLEY HEIGHTS, NY 11798-2105
(631) 643-3012
Mailing address
PO BOX 6030, FREEPORT, NY 11520-0698
(631) 643-3012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
474349
NY
Other
Enumeration date
08/29/2008
Last updated
09/04/2008
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