Healthcare Provider Details

I. General information

NPI: 1659632537
Provider Name (Legal Business Name): MARIA J. CIPRIANO-CONNORS MS ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 YOUNG ST APT 2
CORTLANDT MANOR NY
10567-1008
US

IV. Provider business mailing address

2 YOUNG ST APT 2
CORTLANDT MANOR NY
10567-1008
US

V. Phone/Fax

Practice location:
  • Phone: 917-577-1070
  • Fax: 914-332-1602
Mailing address:
  • Phone: 917-577-1070
  • Fax: 914-332-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: