Provider Demographics
NPI:1477995447
Name:CIENFUEGOS, BOBBIE-JO
Entity Type:Individual
Prefix:MRS
First Name:BOBBIE-JO
Middle Name:
Last Name:CIENFUEGOS
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 1:45 PLATTEKILL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT MARION
Mailing Address - State:NY
Mailing Address - Zip Code:12456
Mailing Address - Country:US
Mailing Address - Phone:845-247-8777
Mailing Address - Fax:
Practice Address - Street 1:268 W SAUGERTIES RD
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-3142
Practice Address - Country:US
Practice Address - Phone:845-247-8777
Practice Address - Fax:845-247-8700
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator