Provider Demographics
NPI:1083360242
Name:COTTORONE, CYNTHIA ROSE
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ROSE
Last Name:COTTORONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 LARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4267
Mailing Address - Country:US
Mailing Address - Phone:585-451-6987
Mailing Address - Fax:
Practice Address - Street 1:84 LARKWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4267
Practice Address - Country:US
Practice Address - Phone:585-451-6987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY607081163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse