Healthcare Provider Details

I. General information

NPI: 1831970268
Provider Name (Legal Business Name): LYNDA CIPRIANO MSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 W 25TH ST FL 11
NEW YORK NY
10001-7405
US

IV. Provider business mailing address

138 W 25TH ST FL 11
NEW YORK NY
10001-7405
US

V. Phone/Fax

Practice location:
  • Phone: 212-335-2100
  • Fax:
Mailing address:
  • Phone: 212-335-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number118593-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: