Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 135040 | NY |
NPI | 1013926567 |
---|---|
Provider Name | Dr. Cynthia J. Mackay |
First Address | New York, NY 10025-7655 |
Second Address | New York, NY 10025-7655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 10/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B79265 | (02) | NY |
B79265 | BCBS (01) | NY |
NS820 | OXFORD (01) | NY |