Provider Demographics
NPI:1235358292
Name:MORROW, CYNTHIA B (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:B
Last Name:MORROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 WILLIAMSON RD NE FL 2
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-5100
Mailing Address - Country:US
Mailing Address - Phone:540-204-9441
Mailing Address - Fax:315-435-5720
Practice Address - Street 1:1502 WILLIAMSON RD NE FL 2
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-5100
Practice Address - Country:US
Practice Address - Phone:540-204-9441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264069208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00217589Medicaid
NYCC5661Medicare ID - Type Unspecified
NYH36231Medicare UPIN