Provider Demographics
NPI:1649312117
Name:CEIER, CYNTHIA (DC)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:CEIER
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:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-0157
Mailing Address - Country:US
Mailing Address - Phone:716-652-0541
Mailing Address - Fax:716-652-6042
Practice Address - Street 1:2430 BOWEN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059
Practice Address - Country:US
Practice Address - Phone:716-652-0541
Practice Address - Fax:716-652-6042
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0040871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004281Medicare ID - Type Unspecified