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NPI Code Detail

MEDICARE: CINDY S. HYATT LCSW

MEDICARE:   CINDY S. HYATT  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
1101YM0800XMental Health CounselorR046936NY

General Provider Information

NPI Number : 1821042490
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY S. HYATT LCSW
Provider Business Mailing Address
First Line : 111 LAKE AVE
Second Line : SUITE #9
City : TUCKAHOE
State : NY
Zip : 10707-3935
Country : US
Telephone Number : 914-337-4919
Fax Number : 347-602-8109
Provider Business Practice Location Address
First Line : 111 LAKE AVE
Second Line : SUITE #9
City : TUCKAHOE
State : NY
Zip : 10707-3935
Country : US
Telephone Number : 914-337-4919
Fax Number : 347-602-8109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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Directions to “ CINDY S. HYATT LCSW” Practice Location

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