Provider Demographics
NPI:1275155723
Name:YALE, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:YALE
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 1:2610 FRY RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:13026-9745
Mailing Address - Country:US
Mailing Address - Phone:315-406-4738
Mailing Address - Fax:
Practice Address - Street 1:2610 FRY RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NY
Practice Address - Zip Code:13026-9745
Practice Address - Country:US
Practice Address - Phone:315-406-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12239374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula