Individual
MRS. CYNTHIA LYNN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
38 HARTS RD, EAST MORICHES, NY 11940
(631) 878-8917
Mailing address
6 ISLIP STREET, HOLTSVILLE, NY 11742
(631) 513-0808
(631) 289-2979
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2404351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02044948
—
NY
Enumeration date
09/06/2007
Last updated
09/06/2007
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