Healthcare Provider Details

I. General information

NPI: 1972902831
Provider Name (Legal Business Name): CYNTHIA ANN SMITH MSAC, L. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2014
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 BEDFORD RD STE 203
ARMONK NY
10504-2005
US

IV. Provider business mailing address

18 HAMMOND RIDGE RD
BEDFORD CORNERS NY
10549-4757
US

V. Phone/Fax

Practice location:
  • Phone: 914-564-1434
  • Fax:
Mailing address:
  • Phone: 914-564-1435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000746
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005133
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: