Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 176806 | NY |
Y | 207R00000X | Internist | 176806 | NY |
Y | 111NI0900X | Internist | 176806 | NY |
NPI | 1578569125 |
---|---|
Provider Name | Dr. Daniel J Cyran |
First Address | Syosset, NY 11791-3109 |
Second Address | Syosset, NY 11791-3494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 11/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01263189 | (05) | NY |
E94764 | (02) | NY |