Healthcare Provider Details

I. General information

NPI: 1427474550
Provider Name (Legal Business Name): SYLVIA CIMOCH N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 BEDFORD ST SUITE 1R
STAMFORD CT
06905-5246
US

IV. Provider business mailing address

5 PATRIOT DR
AIRMONT NY
10952-4424
US

V. Phone/Fax

Practice location:
  • Phone: 203-832-6992
  • Fax:
Mailing address:
  • Phone: 845-596-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number000509
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: