Provider Demographics
NPI:1861968927
Name:SPECHT, CYNTHIA LEE (RN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LEE
Last Name:SPECHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SCHRYVER LN
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-2216
Mailing Address - Country:US
Mailing Address - Phone:845-380-0594
Mailing Address - Fax:
Practice Address - Street 1:488 FREEDOM PLAINS RD STE 122
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603
Practice Address - Country:US
Practice Address - Phone:845-454-1104
Practice Address - Fax:845-625-1743
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY431176163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse