Individual
JUSTIN CYRIAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 680-7800
Mailing address
15 SOREN ST, FORDS, NJ 08863-1228
(732) 754-3487
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
895299
NY
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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