Provider Demographics
| NPI: | 1134149685 |
|---|---|
| Name: | KUCHER, CYNTHIA LYNN (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | CYNTHIA |
| Middle Name: | LYNN |
| Last Name: | KUCHER |
| Suffix: | |
| Gender: | F |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 1 DIAMOND HILL RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BERKELEY HEIGHTS |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 07922-2104 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 908-273-4300 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1345 AVENUE OF THE AMERICAS |
| Practice Address - Street 2: | |
| Practice Address - City: | NEW YORK |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 10105-0302 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 844-824-8963 |
| Practice Address - Fax: | 516-342-7077 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-07-20 |
| Last Update Date: | 2024-07-03 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NY | 240811 | 207ND0900X |
| CT | 043346 | 207ZP0102X |
| NJ | 25MA12193000 | 207ZD0900X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207ZD0900X | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology |
| No | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
| No | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |