Individual
MR. CYNTHIA ANNE GEISLER-GAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5 BUCKNELL LN, STONY BROOK, NY 11790-2521
(631) 431-6600
Mailing address
5 BUCKNELL LN, STONY BROOK, NY 11790-2521
(631) 431-6600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
553801041
NY
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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