Grant, Cynthia

Grant, Cynthia is an sole proprietor health care provider with primary practice located at 336 Derea Rd. , Walden NY 12586. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Grant, Cynthia can be contacted via phone (845) 778-5741.

Contact Information

Primary practice address
336 Derea Rd. Walden NY 12586
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 210849-1 New York

Profile Details

NPI number 1851572978
LBN Legal business name Grant, Cynthia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851572978 NPPES
New York MEDICAID 02863867

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