Provider Demographics
NPI:1285864132
Name:WARSHAWSKY, CYNTHIA RECCA (PA-C)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:RECCA
Last Name:WARSHAWSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:RECCA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:182 SOUTH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5377
Mailing Address - Country:US
Mailing Address - Phone:973-267-0300
Mailing Address - Fax:973-984-2670
Practice Address - Street 1:182 SOUTH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5377
Practice Address - Country:US
Practice Address - Phone:973-267-0300
Practice Address - Fax:973-984-2670
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013336-1363A00000X
NJ25MP00220400363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ164903C2HMedicare PIN
NJOTH000Medicare UPIN