Provider Demographics
NPI:1659351799
Name:ZYGMUNT, CYNTHIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:ZYGMUNT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RT 590 AT RT 348
Mailing Address - Street 2:HAMLIN PROFESSIONAL COMPLEX
Mailing Address - City:HAMLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18427
Mailing Address - Country:US
Mailing Address - Phone:570-689-3950
Mailing Address - Fax:570-689-3968
Practice Address - Street 1:RT 590 AT RT 348
Practice Address - Street 2:HAMLIN PROFESSIONAL COMPLEX
Practice Address - City:HAMLIN
Practice Address - State:PA
Practice Address - Zip Code:18427
Practice Address - Country:US
Practice Address - Phone:570-689-3950
Practice Address - Fax:570-689-3968
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2961215OtherAETNA
PAZY1348548OtherHIGHMARK BLUE CROSS
PA814315OtherFIRST PRIORITY BLUE CROSS
PA0018778460001Medicaid
PA814315OtherFIRST PRIORITY BLUE CROSS
PA054626Medicare ID - Type Unspecified