Provider Demographics
NPI:1659744258
Name:STRATTON, CYNTHIA STRONG (RN,CDE)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:STRONG
Last Name:STRATTON
Suffix:
Gender:F
Credentials:RN,CDE
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:JANE
Other - Last Name:STRATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7218 AUTUMN RUN TRL
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-3008
Mailing Address - Country:US
Mailing Address - Phone:607-337-4136
Mailing Address - Fax:607-337-4076
Practice Address - Street 1:179 N BROAD ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1019
Practice Address - Country:US
Practice Address - Phone:607-337-4040
Practice Address - Fax:607-337-4076
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY441367-1163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator