Provider Demographics
NPI:1871866178
Name:CYCARE LLC
Entity Type:Organization
Organization Name:CYCARE LLC
Other - Org Name:SUSAN NEISTEIN M.S.N., A.P.R.N., LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEISTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-242-1900
Mailing Address - Street 1:8 WARBLER CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2234
Mailing Address - Country:US
Mailing Address - Phone:860-242-1900
Mailing Address - Fax:860-242-1980
Practice Address - Street 1:8 WARBLER CIR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2234
Practice Address - Country:US
Practice Address - Phone:860-242-1900
Practice Address - Fax:860-242-1980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT01447364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty