Cynthia Lee Dack-Fauler, MS.ED.
Specialist in Troy, NY. Individual provider (NPI-1).
NPI number1972851236
StatusActive
Last updated in NPPESAug 16, 2012
Details
- NPI
- 1972851236
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cynthia Lee Dack-Fauler
- Credential
- MS.ED.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2012
- Last updated
- Aug 16, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | NY | Yes |
Practice location
597 3rd AveTroy, NY 12182-2509
Phone 518-233-0544 · Fax 518-233-0703
Mailing address
21 Palmer TerGansevoort, NY 12831-1767
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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