Provider Demographics
NPI: | 1134149685 |
---|---|
Name: | KUCHER, CYNTHIA LYNN (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | CYNTHIA |
Middle Name: | LYNN |
Last Name: | KUCHER |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1 DIAMOND HILL RD |
Mailing Address - Street 2: | |
Mailing Address - City: | BERKELEY HEIGHTS |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07922-2104 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 908-273-4300 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1345 AVENUE OF THE AMERICAS |
Practice Address - Street 2: | |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10105-0302 |
Practice Address - Country: | US |
Practice Address - Phone: | 844-824-8963 |
Practice Address - Fax: | 516-342-7077 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-07-20 |
Last Update Date: | 2024-07-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 240811 | 207ND0900X |
CT | 043346 | 207ZP0102X |
NJ | 25MA12193000 | 207ZD0900X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207ZD0900X | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology |
No | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
No | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |