Healthcare Provider Details

I. General information

NPI: 1235256553
Provider Name (Legal Business Name): CYNTHIA NASO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA RYERSEN RN

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 PETRA LN
ALBANY NY
12205-4973
US

IV. Provider business mailing address

127 TEMPEST DR
LATHAM NY
12110-3748
US

V. Phone/Fax

Practice location:
  • Phone: 518-452-0445
  • Fax: 518-452-3489
Mailing address:
  • Phone: 518-209-7577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number214613
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: