Physician Compare National (NPI:1174771208)

HEALTHCARE PROVIDER: CYNTHIA MARIE LAW ANP, C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174771208
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688977390
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160129000064
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LAW
	Individual professional last name
Provider First Name	CYNTHIA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	161 RIVERSIDE DR
	Group Practice or individual's line 1 address
City	OLD FORGE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	134207799
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330245
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST ELIZABETH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y