Provider Demographics
NPI:1518973957
Name:SAWICKY, CYNTHIA PHILBIN (RD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:PHILBIN
Last Name:SAWICKY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 TEN ROD RD
Mailing Address - Street 2:STE D101
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4161
Mailing Address - Country:US
Mailing Address - Phone:401-667-0452
Mailing Address - Fax:401-667-2894
Practice Address - Street 1:1130 TEN ROD RD
Practice Address - Street 2:STE D101
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4161
Practice Address - Country:US
Practice Address - Phone:401-667-0452
Practice Address - Fax:401-667-2894
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00180133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered