Healthcare Provider Details

I. General information

NPI: 1629931381
Provider Name (Legal Business Name): CINNAMON ROSE DINARDO LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINNAMON ROSE CRAGUN LPN

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SENECA ST STE 610
BUFFALO NY
14204-1963
US

IV. Provider business mailing address

477 21ST ST APT 1
NIAGARA FALLS NY
14303-1725
US

V. Phone/Fax

Practice location:
  • Phone: 716-881-2800
  • Fax:
Mailing address:
  • Phone: 716-705-1496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number353354
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: