Provider Demographics
NPI:1790094613
Name:DARCY, CINDY B (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:B
Last Name:DARCY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8619 BALL RD
Mailing Address - Street 2:
Mailing Address - City:WEEDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:13166-9617
Mailing Address - Country:US
Mailing Address - Phone:315-834-6730
Mailing Address - Fax:
Practice Address - Street 1:30 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:PORT BYRON
Practice Address - State:NY
Practice Address - Zip Code:13140-3404
Practice Address - Country:US
Practice Address - Phone:315-776-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002896-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist