Provider Demographics
NPI:1841755386
Name:GARCIA, CINDY CHRISTINA
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:CHRISTINA
Last Name:GARCIA
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 1:165 VERONA ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-2041
Mailing Address - Country:US
Mailing Address - Phone:978-818-5421
Mailing Address - Fax:
Practice Address - Street 1:165 VERONA ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-2041
Practice Address - Country:US
Practice Address - Phone:978-818-5421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA100016463422OtherMASSHEALTH