| Cindy Mack, CNM | |
|
135 N Union St, Universal Primary Care, Olean, NY 14760-2736 | |
| (716) 375-7500 | |
| (716) 701-6852 |
| Full Name | Cindy Mack |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 135 N Union St, Olean, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447223946 | NPI | - | NPPES |
| 02152692 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 000978 (New York) | Secondary |
| 176B00000X | Midwife | 000978 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | F000978 (New York) | Primary |
| Entity Name | Southern Tier Community Health Center Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184654477 PECOS PAC ID: 3375513724 Enrollment ID: O20040731000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy Mack, CNM 135 N Union St, Stchcn/upc, Olean, NY 14760-2736 Ph: (716) 375-7500 | Cindy Mack, CNM 135 N Union St, Universal Primary Care, Olean, NY 14760-2736 Ph: (716) 375-7500 |
Karrie Anne Kuhn, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 535 Main St, Olean, NY 14760 Phone: 716-376-2251 Fax: 716-376-2225 | |
Katherine Gleason, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 130 S Union St Ste 7, Olean, NY 14760 Phone: 716-372-2229 | |
Katie W Sekulovski, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 135 N Union St, Olean, NY 14760 Phone: 716-375-7500 Fax: 716-701-6852 |