WILBUR CUDDY


Address: 1181 Haselton Rd, Wilmington, NY 12997-2519
Phone: 5182354357

WILBUR CUDDY (NPI# 1164838348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164838348
Entity Type Individual
Full Name WILBUR CUDDY
Other Name CASEY CUDDY
Credential PMHNP
Practice Address 1181 Haselton Rd
Wilmington
NY 12997-2519
Practice Telephone 5182354357
Practice Fax Number 5183104104
Mailing Telephone 5182354357
Mailing Fax Number 5183104104
Enumeration Date 2014-07-08
Last Update Date 2020-10-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F402368-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1181 HASELTON RD
City WILMINGTON
State NY
Zip Code 12997-2519

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1114171139 Colleen E Skufca Speech-Language Pathologist 42 Indian Rock Road, Wilmington, NY 12997 2008-11-05
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1811261522 Mary Lisa Lawrence Taxi 5670 Nys Route 86, Wilmington, NY 12997-2015 2012-02-27
1902234636 Miranda Louise Ward Licensed Practical Nurse 849 Springfield Rd, Apt B, Wilmington, NY 12997-2300 2013-10-15
1962617373 Denise Jane Miller Nurse Practitioner 227 John Bliss Rd, Wilmington, NY 12997-2811 2007-05-11

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1013483627 Michelle Lauer Nurse Practitioner 3521 Silverside Rd Ste 2f1, Wilmington, DE 19810-4900 2018-10-22
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Competitor

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City WILMINGTON
Zip Code 12997

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Dataset Information

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.

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