Provider Demographics
NPI:1841416492
Name:MCCLOSKEY, CYNTHIA RICCI (DNS, WHNP, RN,C)
Entity Type:Individual
Prefix:PROF
First Name:CYNTHIA
Middle Name:RICCI
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:DNS, WHNP, RN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1404
Mailing Address - Country:US
Mailing Address - Phone:585-352-9523
Mailing Address - Fax:
Practice Address - Street 1:417 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1009
Practice Address - Country:US
Practice Address - Phone:585-325-5260
Practice Address - Fax:585-325-3017
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF 420457-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF 420457-1OtherNYS NP LICENSE NUMBER