Provider Demographics
NPI:1265634828
Name:SHECHTER, CYNTHIA J (OT PA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:SHECHTER
Suffix:
Gender:F
Credentials:OT PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E 48TH ST
Mailing Address - Street 2:SUITE 801
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1014
Mailing Address - Country:US
Mailing Address - Phone:212-421-1969
Mailing Address - Fax:212-223-0198
Practice Address - Street 1:70 KINDERKAMACK ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1883
Practice Address - Country:US
Practice Address - Phone:201-267-6267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012054174400000X
NJTR00418200174400000X
NJ46TR00418200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ83-3284555OtherALL PRIVATE INSURERS AND MEDICARE