Provider Demographics
NPI:1851143440
Name:GREAVES, CINDY MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:MARIE
Last Name:GREAVES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 CENTRAL PARK AVE APT 14R
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2917
Mailing Address - Country:US
Mailing Address - Phone:914-751-4825
Mailing Address - Fax:
Practice Address - Street 1:1841 CENTRAL PARK AVE APT 14R
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2917
Practice Address - Country:US
Practice Address - Phone:914-751-4825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY567893-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse