Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 145964 | NY |
NPI | 1023085198 |
---|---|
Provider Name | Dr. Cynthia R. Reddeck |
First Address | Rochester, NY 14625-2658 |
Second Address | Rochester, NY 14625-2658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000524205002 | HEALTH NOW LINDEN OAKS (01) | |
00637687 | (05) | NY |
0079536 | GHI (01) | |
301123 | WELLCARE (01) | |
4266389 | AETNA (01) | |
64449285 | TRICARE/CHAMPUS (01) | |
6890 | BCBS (01) | |
B72475 | (02) | |
MD437D | PREFERRED CARE (01) | |
PO10145964 | EXCELLUS (01) | |
PO10145964 | GRIPA (01) | |
RC60145964 | RCIPA (01) |