Healthcare Provider Details

I. General information

NPI: 1205834769
Provider Name (Legal Business Name): CBLPATH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 WESTCHESTER AVE
RYE BROOK NY
10573-1341
US

IV. Provider business mailing address

110 WASHINGTON AVE 2ND FLOOR
NORTH HAVEN CT
06473-1723
US

V. Phone/Fax

Practice location:
  • Phone: 914-698-5706
  • Fax: 914-698-6624
Mailing address:
  • Phone: 203-584-9406
  • Fax: 203-985-2942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number3954
License Number StateNY

VIII. Authorized Official

Name: DR. CIRIL C RIZK
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 914-698-5706