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NPI Code Detail

MEDICARE: CYNTHIA ANN MASTRODONATO LCSW

MEDICARE: CYNTHIA ANN MASTRODONATO LCSW
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
11041C0700XClinical Social WorkerR038816-1NY

General Provider Information

NPI Number : 1376630020
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA ANN MASTRODONATO LCSW
Provider Business Mailing Address
First Line : 68 GLENBROOK CT
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065-1914
Country : US
Telephone Number : 518-581-5015
Fax Number : 518-584-3235
Provider Business Practice Location Address
First Line : 30 CRESCENT AVE
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-5142
Country : US
Telephone Number : 518-581-5015
Fax Number : 518-584-3235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA ANN MASTRODONATO LCSW” Practice Location

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