Individual
CYNTHIA TRUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CASAC
Contact information
Practice address
2367-69 SECOND AVE, NEW YORK, NY 10035
(347) 590-3047
(347) 590-8089
Mailing address
2604 3RD AVE, BRONX, NY 10454-1199
(646) 316-7477
(347) 398-5804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19691
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401397
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
Enumeration date
07/22/2008
Last updated
01/27/2012
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