Healthcare Provider Details

I. General information

NPI: 1356380828
Provider Name (Legal Business Name): CYNTHIA JEROME M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 BLOOMINGDALE RD FL 2
WHITE PLAINS NY
10605
US

IV. Provider business mailing address

660 WHITE PLAINS RD FL 4
TARRYTOWN NY
10591-5139
US

V. Phone/Fax

Practice location:
  • Phone: 914-949-3888
  • Fax:
Mailing address:
  • Phone: 914-984-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number196753
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: