Doctor Name: | MRS. CYNTHIA ELIZABETH SETOODEH |
NPI Number: | 1104878214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APN-C |
License Number: | 26NJ00057600 |
Business Practice Address: | 44 Godwin Ave Suite 102 Midland Park, NJ - 074321969 |
Business Phone Number: | 2014445992 |
Business Fax Number: | 2014449984 |
Mailing Address: | 44 Godwin Ave, Suite 102 MIDLAND PARK |
State: | NJ |
Postal Code: | 074321969 |
Phone Number: | 2014445992 |
Fax Number: | 2014449984 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 06/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00057600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |