Organization
CYNTHIA M. LAW ADULT HEALTH NP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE SMITH (CREDENTIALING COORDINATOR)
(315) 782-4207
Entity
Organization
Contact information
Practice address
161 RIVERSIDE DR, OLD FORGE, NY 13420-7799
(315) 369-3693
(315) 369-0075
Mailing address
445 FACTORY ST, WATERTOWN, NY 13601-2729
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03699185
—
NY
Enumeration date
11/18/2019
Last updated
09/22/2020
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