Individual
CYNTHIA CICHANOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1333 E MAIN ST, RIVERHEAD, NY 11901-1524
(631) 727-8827
Mailing address
235 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3456
(631) 751-3000
(631) 675-5303
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02339691
—
NY
Enumeration date
11/30/2006
Last updated
12/10/2015
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