| Doctor Name: | CYNTHIA V CAMPBELL |
| NPI Number: | 1154361186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | F330039 |
| Business Practice Address: | 2 Main St Cherry Valley, NY - 13320 |
| Business Phone Number: | 6072643036 |
| Business Fax Number: | 6072648479 |
| Mailing Address: | Po Box 206, CHERRY VALLEY |
| State: | NY |
| Postal Code: | 133200206 |
| Phone Number: | 6072643036 |
| Fax Number: | 6072649326 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F330039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |