MEDICARE: CYNTHIA LIGENZA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	147833	NY
2	207RP1001X	Pulmonary Disease Physician	147833	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073611414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA LIGENZA MD

Provider Business Mailing Address
First Line	:	1756 ROUTE 9D
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-2619
Country	:	US
Telephone Number	:	845-809-5661
Fax Number	:	845-809-5663

Provider Business Practice Location Address
First Line	:	1756 ROUTE 9D
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-2619
Country	:	US
Telephone Number	:	845-265-1006
Fax Number	:	845-265-4548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/07/2023

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