Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 225924-1 | NY |
NPI | 1033290127 |
---|---|
Provider Name | Dr. Cynthia Joan Carlyn |
First Address | Albany, NY 12208-2529 |
Second Address | Albany, NY 12208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |