Provider Demographics
NPI:1962713420
Name:CIMINO, LINDA MARIE (NP, EDD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:CIMINO
Suffix:
Gender:F
Credentials:NP, EDD
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Mailing Address - Street 1:SUNY STONY BROOK DEPT OF ANESTHESIOLOGY
Mailing Address - Street 2:HSC L 4, RM 060
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8480
Mailing Address - Country:US
Mailing Address - Phone:631-444-2968
Mailing Address - Fax:631-444-9179
Practice Address - Street 1:SUNY STONY BROOK DEPT OF ANESTHESIOLOGY
Practice Address - Street 2:HSC L 4, RM 060
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8480
Practice Address - Country:US
Practice Address - Phone:631-444-2968
Practice Address - Fax:631-444-9179
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF381265-1363LP0200X
NYF303322-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics