Healthcare Provider Details

I. General information

NPI: 1124571385
Provider Name (Legal Business Name): CINDY HA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2016
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 FOSTER RD
HOPEWELL JUNCTION NY
12533-6123
US

IV. Provider business mailing address

45 FOSTER RD
HOPEWELL JUNCTION NY
12533-6123
US

V. Phone/Fax

Practice location:
  • Phone: 845-226-4590
  • Fax: 833-764-5857
Mailing address:
  • Phone: 845-226-4590
  • Fax: 833-764-5857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number341449
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: