Provider Demographics
NPI:1891973509
Name:MILNER, CYNTHIA ANN (RD, MSED, CDN)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ANN
Last Name:MILNER
Suffix:
Gender:F
Credentials:RD, MSED, CDN
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:MILNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, MSED, RD
Mailing Address - Street 1:66 WOODCREST AVE
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-6241
Mailing Address - Country:US
Mailing Address - Phone:607-277-2049
Mailing Address - Fax:
Practice Address - Street 1:66 WOODCREST AVE
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-6241
Practice Address - Country:US
Practice Address - Phone:607-277-2049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered