Provider Demographics
NPI:1871632356
Name:DUANGPANYA, CYNTHIA V (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:V
Last Name:DUANGPANYA
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 1:1405 CHALKSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-3935
Mailing Address - Country:US
Mailing Address - Phone:401-440-6449
Mailing Address - Fax:
Practice Address - Street 1:544 CHALKSTONE AVENUE
Practice Address - Street 2:A
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908
Practice Address - Country:US
Practice Address - Phone:401-440-6449
Practice Address - Fax:401-808-6388
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00492111N00000X
MA2843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor