Individual
CINDY SUTANTIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
211 E 51ST ST, NEW YORK, NY 10022-6526
(212) 398-1709
Mailing address
7 KNOX RD, EASTCHESTER, NY 10709-1420
(614) 804-7820
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
15084
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
F308724
NY
Other
Enumeration date
01/15/2014
Last updated
10/23/2018
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