Provider Demographics
NPI:1245553569
Name:MATTHEWS-MALHIWSKY, CYNTHIA JILL (RN)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JILL
Last Name:MATTHEWS-MALHIWSKY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:JILL
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:72 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:ILION
Mailing Address - State:NY
Mailing Address - Zip Code:13357-2324
Mailing Address - Country:US
Mailing Address - Phone:315-894-0306
Mailing Address - Fax:
Practice Address - Street 1:2614 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-6003
Practice Address - Country:US
Practice Address - Phone:315-793-0090
Practice Address - Fax:315-734-1146
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY435431-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse