MEDICARE: MRS. CYNTHIA L HIRT

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
1	163W00000X	Registered Nurse	466333-1	NY

General Provider Information

NPI Number	:	1538438056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA L HIRT

Provider Business Mailing Address
First Line	:	37 BURTON STREET
Second Line	:	BURTON STREET ELEMENTARY
City	:	CAZENOVIA
State	:	NY
Zip	:	13035-1148
Country	:	US
Telephone Number	:	315-655-1355
Fax Number	:	315-655-1353

Provider Business Practice Location Address
First Line	:	2424 PARKER ROAD
Second Line	:
City	:	NEW WOODSTOCK
State	:	NY
Zip	:	13122
Country	:	US
Telephone Number	:	315-655-1355
Fax Number	:	315-655-1353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2011
Last Update Date	:	12/29/2011

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