Provider Demographics
NPI:1316631336
Name:CINQUANTI, ISABELLA A (LPN)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:A
Last Name:CINQUANTI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 COUNTY ROUTE 11 LOT 3
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:13167-4101
Mailing Address - Country:US
Mailing Address - Phone:607-262-4510
Mailing Address - Fax:
Practice Address - Street 1:338 COUNTY ROUTE 11 LOT 3
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:NY
Practice Address - Zip Code:13167-4101
Practice Address - Country:US
Practice Address - Phone:607-262-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY346116164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse