Provider Demographics
NPI:1982397758
Name:CYNTHIA MARITATO NP LLC
Entity Type:Organization
Organization Name:CYNTHIA MARITATO NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARITATO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, PMHNP-BC
Authorized Official - Phone:570-862-1889
Mailing Address - Street 1:500 GRANT ST STE 2900
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2502
Mailing Address - Country:US
Mailing Address - Phone:737-437-2256
Mailing Address - Fax:855-521-1337
Practice Address - Street 1:1759 WATERFRONT PL APT 172
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-5109
Practice Address - Country:US
Practice Address - Phone:737-437-2256
Practice Address - Fax:855-521-1337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty