Provider Demographics
NPI:1588809826
Name:DELANCY, CYNTHIA CHRISTINA (NP)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CHRISTINA
Last Name:DELANCY
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:3050 REGENT BOULEVARD - SUITE 200
Mailing Address - Street 2:EXAMINATION MANAGEMENT SERVICES
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063
Mailing Address - Country:US
Mailing Address - Phone:214-689-8079
Mailing Address - Fax:877-457-3988
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:J130
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3145
Practice Address - Fax:212-746-3172
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF3351907363L00000X
NY335190363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF3351907OtherLICENCE #
NYLICENCE # F3351907OtherSTATE LICENCE