Healthcare Provider Details

I. General information

NPI: 1306825815
Provider Name (Legal Business Name): WILLIAM CIEPLINSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 HATFIELD LN SUITE 101
GOSHEN NY
10924-6734
US

IV. Provider business mailing address

PO BOX 809
GOSHEN NY
10924-0809
US

V. Phone/Fax

Practice location:
  • Phone: 845-294-8888
  • Fax: 845-294-1669
Mailing address:
  • Phone: 845-294-8888
  • Fax: 845-294-1669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number130832
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number130832
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: