Provider Demographics
NPI:1225313828
Name:SOLYIAN, CYNTHIA LOU (RN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LOU
Last Name:SOLYIAN
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 1:128 NEAL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PITCHER
Mailing Address - State:NY
Mailing Address - Zip Code:13124-2002
Mailing Address - Country:US
Mailing Address - Phone:607-745-6832
Mailing Address - Fax:
Practice Address - Street 1:50 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NY
Practice Address - Zip Code:13830-3488
Practice Address - Country:US
Practice Address - Phone:607-843-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY599549163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379597OtherMEDICAID MANAGEMENT INFORMATION SYSTEM (MMSI)