Provider Demographics
NPI:1679897268
Name:MAKASZIW, CYNTHIA (PT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:MAKASZIW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 JUDD LN
Mailing Address - Street 2:
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-9752
Mailing Address - Country:US
Mailing Address - Phone:585-392-4095
Mailing Address - Fax:585-392-4095
Practice Address - Street 1:159 W MAIN ST
Practice Address - Street 2:LOWER LEVEL EAST
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2960
Practice Address - Country:US
Practice Address - Phone:585-872-9669
Practice Address - Fax:585-872-9449
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist