Provider Demographics
NPI:1952498966
Name:OCHI, CYNTHIA SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:SUE
Last Name:OCHI
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 1:6144 ROUTE 25A STE 18
Mailing Address - Street 2:
Mailing Address - City:WADING RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11792-2008
Mailing Address - Country:US
Mailing Address - Phone:631-821-5670
Mailing Address - Fax:631-821-5672
Practice Address - Street 1:6144 ROUTE 25A STE 18
Practice Address - Street 2:
Practice Address - City:WADING RIVER
Practice Address - State:NY
Practice Address - Zip Code:11792-2008
Practice Address - Country:US
Practice Address - Phone:631-821-5670
Practice Address - Fax:631-821-5672
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004249-1111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11-3622719OtherEMPLOYER IDENTIFICATION
NYT52737Medicare UPIN
NYX23431Medicare ID - Type UnspecifiedMEDICARE ID