Provider Demographics
NPI:1134016009
Name:PIERCE, CYNTHIA (MS, RDN, CDN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MS, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2771 WALLACE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2858
Mailing Address - Country:US
Mailing Address - Phone:516-312-1903
Mailing Address - Fax:
Practice Address - Street 1:2771 WALLACE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2858
Practice Address - Country:US
Practice Address - Phone:516-312-1903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal