Provider Demographics
NPI:1720963317
Name:LOVITT, CIERA
Entity type:Individual
Prefix:
First Name:CIERA
Middle Name:
Last Name:LOVITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 IMPERIAL AVE
Mailing Address - Street 2:
Mailing Address - City:PAINTED POST
Mailing Address - State:NY
Mailing Address - Zip Code:14870-1442
Mailing Address - Country:US
Mailing Address - Phone:607-542-2731
Mailing Address - Fax:
Practice Address - Street 1:361 IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870-1442
Practice Address - Country:US
Practice Address - Phone:607-542-2731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN02194163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health