Provider Demographics
NPI:1376024257
Name:LAFORTE, CYNTHIA MARSH
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MARSH
Last Name:LAFORTE
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 1:128 SAINT MARKS PL APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-5805
Mailing Address - Country:US
Mailing Address - Phone:585-747-0157
Mailing Address - Fax:
Practice Address - Street 1:303 FIFTH AVENUE, SUITE 1606
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6649
Practice Address - Country:US
Practice Address - Phone:646-598-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical