Healthcare Provider Details

I. General information

NPI: 1942399837
Provider Name (Legal Business Name): RICHARD BRYAN CINDRICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/19/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MADISON AVE FL 5
NEW YORK NY
10010-1600
US

IV. Provider business mailing address

60 MADISON AVE FL 5
NEW YORK NY
10010-1600
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-1293
  • Fax: 718-960-2055
Mailing address:
  • Phone: 212-545-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0205023
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: