Most Relevant Information
Provider Data
| NPI Number: | 1003278623 |
| Provider Name: | CYNTHIA JEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F338701 |
Most Important Dates
| Enumeration Date: | 03/23/2016 |
| Last Updated: | 04/27/2021 |
Provider Practice Location
2015 GRAND CONCOURSE
BRONX
NY
10453
Practice Location Phone/Fax
| Phone: | 7182997295 |
| Fax: |
Provider Mailing Location
1434 WILLIAMSBRIDGE RD
BRONX
NY
104612507
Provider Mailing Phone/Fax
| Phone: | 7186180401 |
| Fax: | 3474791303 |