Basic Information
Provider Information
NPI: 1669443818
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PASCARETTI
FirstName: CYNTHIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
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Mailing Information
Address1: 110 S BEDFORD RD
Address2: CAREMOUNT MEDICAL PC
City: MOUNT KISCO
State: NY
PostalCode: 105493446
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber: 9142421516
Practice Location
Address1: 1561 ROUTE 9W
Address2:  
City: LAKE KATRINE
State: NY
PostalCode: 124495410
CountryCode: US
TelephoneNumber: 8452315600
FaxNumber: 8452026005
Other Information
ProviderEnumerationDate: 01/27/2006
LastUpdateDate: 11/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF330860NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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