MEDICARE: CINDY MCCONNELL PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F403928-01	NY

General Provider Information

NPI Number	:	1952052656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY MCCONNELL PMHNP

Provider Business Mailing Address
First Line	:	5 SATINWOOD DR
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-3713
Country	:	US
Telephone Number	:	716-867-9694
Fax Number	:

Provider Business Practice Location Address
First Line	:	5775 BROADWAY ST
Second Line	:
City	:	LANCASTER
State	:	NY
Zip	:	14086-2456
Country	:	US
Telephone Number	:	716-544-8848
Fax Number	:	888-612-0831

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

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	09/23/2025

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