Provider Demographics
NPI:1447538483
Name:CINCOTTA, CHRISTINE ANN (LMFT, CASAC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANN
Last Name:CINCOTTA
Suffix:
Gender:F
Credentials:LMFT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CATHY CT
Mailing Address - Street 2:
Mailing Address - City:WALLKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12589-4213
Mailing Address - Country:US
Mailing Address - Phone:845-938-7691
Mailing Address - Fax:845-938-5770
Practice Address - Street 1:6 CATHY CT
Practice Address - Street 2:
Practice Address - City:WALLKILL
Practice Address - State:NY
Practice Address - Zip Code:12589-4213
Practice Address - Country:US
Practice Address - Phone:845-938-7691
Practice Address - Fax:845-938-5770
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21661101YA0400X
NY000814106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33025FMedicare UPIN