Provider Demographics
NPI:1992316996
Name:SAINT-FURCY, CASSANDRA DIONNE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:DIONNE
Last Name:SAINT-FURCY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PROVENZANO ST
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1410
Mailing Address - Country:US
Mailing Address - Phone:917-613-4750
Mailing Address - Fax:
Practice Address - Street 1:6 PROVENZANO ST
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-1410
Practice Address - Country:US
Practice Address - Phone:917-613-4750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305917363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner