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NPI Code Detail

MEDICARE: CYNTHIA POND CSW

MEDICARE:   CYNTHIA  POND  CSW
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 WorkerNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000525425001OTHERNYHEALTHNOW

General Provider Information

NPI Number : 1386631414
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA POND CSW
Provider Business Mailing Address
First Line : 3920 LAKEVILLE GROVELAND RD
Second Line :
City : GENESEO
State : NY
Zip : 14454-9708
Country : US
Telephone Number : 585-786-0150
Fax Number : 585-786-3065
Provider Business Practice Location Address
First Line : 52 N MAIN ST
Second Line :
City : WARSAW
State : NY
Zip : 14569-1326
Country : US
Telephone Number : 585-786-0150
Fax Number : 585-786-3065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA POND CSW” Practice Location

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