Provider Demographics
NPI:1467667691
Name:LAIZ, CYNTHIA PALLON (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:PALLON
Last Name:LAIZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 LOCKWOOD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4908
Mailing Address - Country:US
Mailing Address - Phone:914-636-6330
Mailing Address - Fax:914-636-1407
Practice Address - Street 1:140 LOCKWOOD AVE STE 203
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4908
Practice Address - Country:US
Practice Address - Phone:914-636-6330
Practice Address - Fax:914-636-1407
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily