Provider Demographics
NPI:1538438056
Name:HIRT, CYNTHIA L
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:L
Last Name:HIRT
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:HIRT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:37 BURTON STREET
Mailing Address - Street 2:BURTON STREET ELEMENTARY
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035-1148
Mailing Address - Country:US
Mailing Address - Phone:315-655-1355
Mailing Address - Fax:315-655-1353
Practice Address - Street 1:2424 PARKER ROAD
Practice Address - Street 2:
Practice Address - City:NEW WOODSTOCK
Practice Address - State:NY
Practice Address - Zip Code:13122
Practice Address - Country:US
Practice Address - Phone:315-655-1355
Practice Address - Fax:315-655-1353
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY466333-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse