Healthcare Provider Details

I. General information

NPI: 1952475683
Provider Name (Legal Business Name): NEW LIFE PLUS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1781 HIGHLAND AVE SUITE 102
CHESHIRE CT
06410-1254
US

IV. Provider business mailing address

1781 HIGHLAND AVE SUITE 102
CHESHIRE CT
06410-1254
US

V. Phone/Fax

Practice location:
  • Phone: 203-272-1990
  • Fax: 202-271-0668
Mailing address:
  • Phone: 203-272-1990
  • Fax: 202-271-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA HALL MCCRAVEN
Title or Position: PRESIDENT
Credential: MD
Phone: 203-272-1990