Provider Demographics
NPI:1285195230
Name:ORSI, CYNTHIA DAWNA (MT, CMLDT, RCIS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DAWNA
Last Name:ORSI
Suffix:
Gender:F
Credentials:MT, CMLDT, RCIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 HWY 31 STE 5
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5756
Mailing Address - Country:US
Mailing Address - Phone:908-399-4990
Mailing Address - Fax:
Practice Address - Street 1:170 HWY 31 STE 5
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5756
Practice Address - Country:US
Practice Address - Phone:908-399-4990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-30
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00271300225700000X, 246Z00000X, 247000000X, 208D00000X, 174H00000X, 246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174H00000XOther Service ProvidersHealth Educator
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist