MRS. CYNTHIA E CAVANAUGH (NPI# 1154517019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154517019 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA E CAVANAUGH |
| Other Name | CYNTHIA E CHARLES |
| Credential | RN |
| Practice Address |
2968 Gulf Rd Manlius NY 13104 |
| Practice Telephone | 3156552597 |
| Mailing Telephone | 3156552597 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
296622 1 | NY | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
296622 1 | NY | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
296622 1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02640393 | 05 |
| Street Address |
2968 GULF RD |
| City | MANLIUS |
| State | NY |
| Zip Code | 13104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334423 | Cindy Gleason | Technician | 8450 Number 2 Rd East, Manlius, NY 13104 | 2019-09-05 |
| 1275009995 | Tristan Karel Martin | Marriage & Family Therapist | 4500 Pewter Lane, 8&9, Manlius, NY 13104 | 2018-10-20 |
| 1184141715 | Walgreen Co | Pharmacy | 315 Fayette St Ste 3, Manlius, NY 13104 | 2017-08-24 |
| 1518233386 | Edward Theodore Schroeder | Internal Medicine | 8345 Vassar Drive, Manlius, NY 13104 | 2012-03-27 |
| 1790052017 | Megan Lynn Perioli | Counselor | 8219 Market Pl Bldg 10, Manlius, NY 13104 | 2011-12-01 |
| 1194979088 | Erin Elizabeth Kolceski | Speech-Language Pathologist | 8141 Old Sunridge Dr, Manlius, NY 13104 | 2008-11-05 |
| 1700037314 | Peter H Emery Jr. | Pharmacist | 3215 Pompey Center Road, Manlius, NY 13104 | 2008-10-02 |
| 1093987216 | Jason David Henderson | Dentist | 8179 Cazenovia Rd., Manlius, NY 13104 | 2008-03-27 |
| 1487853537 | Harold Jason Rodman | Dentist | 28 Lincklaen St, Cazenovia, NY 13104 | 2007-07-17 |
| 1033325253 | Geraldine Mary Dicosimo | Nurse Practitioner | 8112 Cazenovia Road, Seven Pines Office Bldg. One, Suite 3, Manlius, NY 13104 | 2007-05-15 |
| Find all providers in zip 13104 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609375062 | Therese Walker Nelligan | Registered Nurse | 306 Pleasant St Apt 3, Manlius, NY 13104-1816 | 2018-02-12 |
| 1124264213 | Abosede Nihinlola Alao | Registered Nurse | 4589 Stoneledge Ln, Manlius, NY 13104-2375 | 2008-12-19 |
| 1548314743 | Amy Mayer | Registered Nurse | 4705 Limberlost Ln, Manlius, NY 13104-1405 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192575 | Deni L Lobrutto | Registered Nurse | 80 Park Ln, Grand Island, NY 14072-3340 | 2020-10-22 |
| 1386243079 | Melanie Yap | Registered Nurse | 5334 206th St, Oakland Gardens, NY 11364-1714 | 2020-10-22 |
| 1932707155 | Nurselance Health LLC | Registered Nurse | 1044 E 105th St, Brooklyn, NY 11236-3002 | 2020-10-09 |
| 1487260063 | Mei Ling Gilbert | Registered Nurse | 10 Woodside Ave, Elmsford, NY 10523-2810 | 2020-09-19 |
| 1164037180 | Elizabeth Ann Primiano | Registered Nurse | 394 Ocean Ave, Massapequa, NY 11758-5228 | 2020-09-15 |
| 1508471236 | Samantha Kate Saraceno | Registered Nurse | 107 Rumbold Ave, North Tonawanda, NY 14120-4623 | 2020-09-10 |
| 1831703826 | Lateisha Freeman | Registered Nurse | 1 Cross Island Plz Ste 210, Rosedale, NY 11422-1456 | 2020-09-07 |
| 1891307658 | Jessica Ruggiero | Registered Nurse | 59 Rose St, Hastings On Hudson, NY 10706-3410 | 2020-08-21 |
| 1245842053 | Mary Reiner | Registered Nurse | 16 Harold St, Nanuet, NY 10954-3733 | 2020-08-21 |
| 1982221164 | Rebecca Armbrust | Registered Nurse | 225 Hilltop Dr, Elma, NY 14059-9412 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.