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Contact Information

CECILIA G CASSIDY, APRN, CDE
5 CUBA HILL RD
GREENLAWN, NY11740
 Phone: 631-628-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CECILIA G CASSIDY · (Female)

NPI # 1124410634
Status Active
Credentials APRN, CDE
Entity Individual
Enumeration date 02/21/2015
Last updated 08/28/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 292979
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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