Provider Demographics
NPI:1992785612
Name:PARLATO, CYNTHIA JO (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JO
Last Name:PARLATO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2206 GENESEE ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5829
Mailing Address - Country:US
Mailing Address - Phone:315-735-8358
Mailing Address - Fax:315-735-0031
Practice Address - Street 1:2206 GENESEE ST
Practice Address - Street 2:SUITE 206
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5829
Practice Address - Country:US
Practice Address - Phone:315-735-8358
Practice Address - Fax:315-735-0031
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY167228207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01064906Medicaid
NYB82898Medicare UPIN