Provider Demographics
NPI:1013091024
Name:HLADKI, CYNTHIA (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:HLADKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:HLADKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:148 CHICHESTER RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6525
Mailing Address - Country:US
Mailing Address - Phone:631-423-4113
Mailing Address - Fax:
Practice Address - Street 1:54 SUNNYSIDE BLVD STE B
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1517
Practice Address - Country:US
Practice Address - Phone:516-349-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX34771Medicare ID - Type UnspecifiedMEDICARE #