Healthcare Provider Details

I. General information

NPI: 1396843512
Provider Name (Legal Business Name): CYNTHIA SIRES TROP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 12/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E 95TH ST
NEW YORK NY
10128-4077
US

IV. Provider business mailing address

441 9TH AVE CREDENTIALING 3RD FL
NEW YORK NY
10001-1623
US

V. Phone/Fax

Practice location:
  • Phone: 212-996-8000
  • Fax: 516-542-5556
Mailing address:
  • Phone: 646-680-2894
  • Fax: 516-542-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number223253
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: