Provider Demographics
NPI:1235227927
Name:MANSBACH, CYNTHIA LEAH (LCSW R MSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LEAH
Last Name:MANSBACH
Suffix:
Gender:F
Credentials:LCSW R MSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LEAH
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:692 TONI COURT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598
Mailing Address - Country:US
Mailing Address - Phone:914-245-3058
Mailing Address - Fax:914-245-3058
Practice Address - Street 1:692 TONI COURT
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598
Practice Address - Country:US
Practice Address - Phone:914-245-3058
Practice Address - Fax:914-245-3058
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0429011104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN6G792Medicare PIN
N6G79Medicare UPIN