MEDICARE: CYNTHIA LARTEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	00092364	NY

General Provider Information

NPI Number	:	1679336424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA LARTEY

Provider Business Mailing Address
First Line	:	1030 E 217TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-1209
Country	:	US
Telephone Number	:	347-289-1994
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 E 217TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-1209
Country	:	US
Telephone Number	:	347-289-1994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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Directions to “ CYNTHIA LARTEY ” Practice Location

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