Provider Demographics
NPI:1538420674
Name:ALBA, CYNTHIA
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ALBA
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 1:801 NEILL AVE
Mailing Address - Street 2:APT #2E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3032
Mailing Address - Country:US
Mailing Address - Phone:347-236-9938
Mailing Address - Fax:347-281-9138
Practice Address - Street 1:801 NEILL AVE
Practice Address - Street 2:APT #2E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3032
Practice Address - Country:US
Practice Address - Phone:347-236-9938
Practice Address - Fax:347-281-9138
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator