Provider Demographics
NPI:1427474550
Name:CIMOCH, SYLVIA (ND)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:CIMOCH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PATRIOT DR
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4424
Mailing Address - Country:US
Mailing Address - Phone:845-596-0073
Mailing Address - Fax:
Practice Address - Street 1:1435 BEDFORD ST
Practice Address - Street 2:SUITE 1R
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5246
Practice Address - Country:US
Practice Address - Phone:203-832-6992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000509175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath