Provider Demographics
NPI:1255501334
Name:DURAKIS, CYNTHIA HELEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:HELEN
Last Name:DURAKIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CINDY
Other - Middle Name:H
Other - Last Name:DURAKIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2101 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1359
Mailing Address - Country:US
Mailing Address - Phone:703-706-9500
Mailing Address - Fax:703-842-8293
Practice Address - Street 1:517 WYTHE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1917
Practice Address - Country:US
Practice Address - Phone:703-739-0456
Practice Address - Fax:703-739-0032
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA556849Medicare UPIN