Healthcare Provider Details

I. General information

NPI: 1467081992
Provider Name (Legal Business Name): CINDY CAROLINA ARDILA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 10TH AVE
NEW YORK NY
10019-1147
US

IV. Provider business mailing address

PO BOX 28082
NEW YORK NY
10087-5024
US

V. Phone/Fax

Practice location:
  • Phone: 212-523-6121
  • Fax:
Mailing address:
  • Phone: 212-987-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number328651
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: