Provider Demographics
NPI:1922421056
Name:HYACINTHE, CYNTHIA JACQUELINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JACQUELINE
Last Name:HYACINTHE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:JACQUELINE
Other - Last Name:BECKLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2901 216TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2810
Mailing Address - Country:US
Mailing Address - Phone:718-281-8800
Mailing Address - Fax:718-281-8590
Practice Address - Street 1:2901 216TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2810
Practice Address - Country:US
Practice Address - Phone:718-281-8800
Practice Address - Fax:718-281-8590
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381175363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner