Healthcare Provider Details

I. General information

NPI: 1740074764
Provider Name (Legal Business Name): CINDY TAKIGAWA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 OLD COUNTRY RD
PLAINVIEW NY
11803-4914
US

IV. Provider business mailing address

888 OLD COUNTRY RD
PLAINVIEW NY
11803-4914
US

V. Phone/Fax

Practice location:
  • Phone: 516-719-2543
  • Fax: 516-719-2766
Mailing address:
  • Phone: 516-719-2543
  • Fax: 516-719-2766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: