Provider Demographics
NPI:1720292840
Name:CYNTHIA S. FERRELLI PLLC
Entity Type:Organization
Organization Name:CYNTHIA S. FERRELLI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FERRELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:716-631-1133
Mailing Address - Street 1:330 HARRIS HILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7407
Mailing Address - Country:US
Mailing Address - Phone:716-631-1133
Mailing Address - Fax:716-631-3030
Practice Address - Street 1:330 HARRIS HILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-7407
Practice Address - Country:US
Practice Address - Phone:716-631-1133
Practice Address - Fax:716-631-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY0046741213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty