Provider Demographics
NPI:1548520661
Name:ZYWOCINSKI, CYNTHIA (DO)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:ZYWOCINSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BRENDA CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-3136
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:757-327-0236
Practice Address - Street 1:92 EVERIT ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-1321
Practice Address - Country:US
Practice Address - Phone:800-418-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000323208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice