Most Relevant Information
Provider Data
| NPI Number: | 1003378589 |
| Provider Name: | CYNTHIA GANGOTENA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2019 |
| Last Updated: | 04/03/2019 |
Provider Practice Location
102 PILLING ST
BROOKLYN
NY
112071610
Practice Location Phone/Fax
| Phone: | 7186021000 |
| Fax: |
Provider Mailing Location
213 N 5TH ST APT 3L
BROOKLYN
NY
112113238
Provider Mailing Phone/Fax
| Phone: | 7038887106 |
| Fax: |