Individual
MISS CYNTHIA LANSANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
728 N MAIN ST, NEW SQUARE, NY 10977-8916
(845) 354-9300
(845) 517-1924
Mailing address
728 N MAIN ST, NEW SQUARE, NY 10977-8916
(845) 354-9300
(845) 517-1924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015460-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015460-1
LICENSE
—
Enumeration date
04/06/2011
Last updated
04/11/2011
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